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:
An abrasion is a superficial injury to the skin caused by scraping or rubbing, which does not match the description of a pooling of blood under unbroken skin.
Choice B rationale:
An avulsion is a wound where a chunk of tissue is torn away, which does not match the description of a pooling of blood under unbroken skin.
Choice C rationale:
A hematoma is a pooling of blood outside of blood vessels, typically caused by trauma. It matches the description of a pooling of blood under unbroken skin.
Choice D rationale:
A laceration is a deep cut or tear in the skin, which does not match the description of a pooling of blood under unbroken skin.
Correct Answer is C
Explanation
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.
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