The nurse is performing a dry sterile dressing change for an abdominal wound.
The nurse should use a swab to clean:
From the left to the right across the wound.
From the outer abdomen toward the wound.
In a circular motion around the wound, circling to the outside.
Directly over the wound.
The Correct Answer is C
Choice A rationale:
Cleaning from left to right across the wound can introduce bacteria from the surrounding skin into the wound, which can lead to infection.
Choice B rationale:
Cleaning from the outer abdomen toward the wound can also introduce bacteria from the surrounding skin into the wound.
Choice C rationale:
Cleaning in a circular motion around the wound, circling to the outside, helps to move bacteria away from the wound and reduce the risk of infection.
Choice D rationale:
Cleaning directly over the wound can disrupt the healing process and potentially introduce bacteria into the wound.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Repositioning the patient for bed changing does not directly contribute to skin breakdown or infection.
Choice B rationale:
While shearing can cause skin breakdown, it is not directly related to incontinence or wet sheets.
Choice C rationale:
Moisture from incontinence can create an environment suitable for the growth of microorganisms in a wound, leading to infection and skin breakdown.
Choice D rationale:
A wet bed does not exert greater pressure on the patient’s skin.
Correct Answer is C
Explanation
Choice A rationale:
While it’s important for the patient to remain still during the procedure, this is not the most important aspect of changing a sterile dressing.
Choice B rationale:
Placing a discard bag close to the wound can increase the risk of infection.
Choice C rationale:
Changing gloves after removing the old dressing is crucial to maintain sterility and prevent infection.
Choice D rationale:
Refraining from talking while the wound is uncovered can help prevent infection, but it’s not as important as changing gloves after removing the old dressing.
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