A nurse is obtaining an aerobic wound culture for a client. Which of the following actions should the nurse take first?
Swab the wound bed with a sterile cotton-tipped swab
Cleanse the area around the wound with sterile saline.
Don sterile gloves
Place the collection tube in a specimen bag.
The Correct Answer is C
- A: Swabbing the wound bed is an essential step in obtaining a wound culture, but it is not the first action that should be taken. This step is performed after the wound has been cleansed to ensure that the sample is not contaminated with debris or bacteria from the surrounding skin.
- B: Cleansing the area around the wound with sterile saline is the correct first step. This action helps to remove any contaminants or debris from the wound surface, ensuring that the culture obtained is from the wound itself and not from the surrounding skin, which could lead to inaccurate results.
- C: Donning sterile gloves is a crucial step to maintain sterility during the procedure. However, it is not the first action because the nurse must first cleanse the wound area to prevent contamination of the culture specimen.
- D: Placing the collection tube in a specimen bag is done after obtaining the wound culture to transport the specimen to the laboratory. This is one of the final steps in the process, not the first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Basal cell carcinoma commonly presents as a small, translucent papule with rolled borders. It may have a pearly or shiny appearance and often develops on sun-exposed areas, such as the nose.
Choice B rationale: This description is more characteristic of melanoma, not basal cell carcinoma.
Choice C rationale: This description may be more indicative of squamous cell carcinoma.
Choice D rationale: This description does not align with the typical presentation of basal cell carcinoma.
Correct Answer is C
Explanation
Choice A rationale: Herpes zoster itself is not easily spread, but the varicella-zoster virus can be transmitted to individuals who have not had chickenpox or the varicella vaccine.
Choice B rationale: While the virus can be spread through contact with the fluid from shingles blisters, it can also be spread by respiratory droplets from the infected person.
Choice C rationale: Postherpetic neuralgia is a common complication of herpes zoster (shingles), and it involves persistent pain in the affected area even after the lesions have healed.
Choice D rationale: This statement is accurate, but it does not address the persistent pain (postherpetic neuralgia) that can occur after the lesions resolve.
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