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.

Answer and Explanation

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.

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Correct Answer is ["325"]

Explanation

In burns, half the total fluids required within 24 hours should be given within 8 hours and the other half distributed over the remaining 16 hours to prevent hypovolemic shock and electrolyte imbalance.

Therefore, half the fluid that should be given within 8 hours is 5200/2= 2600

We will use the formula: drip rate= total volume of fluid to be administered/total duration

= 2600/8

=325 mL/hr

A. 18% B. 36% C. 40% D. 28%

Correct Answer is D

Explanation

Adding these percentages together:

Anterior trunk: 18%
Perineum: 1%
Left anterior arm: 4.5%
Left posterior arm: 4.5%

Total = 18% + 1% + 4.5% + 4.5% = 28%

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A nurse is obtaining an aerobic wound culture for a client. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to start an IV infusion of lactated Ringer's for a client who sustained a burn injury. The client is prescribed 5,200 mL of fl over the first 24 hr. How many mL/hr should the nurse set the pump to infuse for the first 8 hr?

Correct Answer is ["325"]

Explanation

A patient received deep partial-thickness burns to the anterior trunk, perineum, and left posterior and anterior arm. Using the "Rule of nines," what is the percent of total body surface area (TBSA) that was burned?

Correct Answer is D

Explanation

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