When preparing to change a sterile dressing over an incision, it is most important to remember to:

Remind him to remain very still during the procedure.

Place a discard bag close to the wound.

Change gloves after removing the old dressing.

Refrain from talking while the wound is uncovered.

Answer and Explanation

The Correct Answer is C

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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Correct Answer is A

Explanation

Choice A rationale:

The side-lying position allows gravity to assist in wound irrigation and prevent pooling of the solution.

Choice B rationale:

High-Fowler’s position is not ideal for abdominal wound irrigation as it can lead to pooling of the solution.

Choice C rationale:

In the supine position, the solution can pool around the wound and not effectively irrigate it.

Choice D rationale:

The dorsal recumbent position is not ideal as it can also lead to pooling of the solution.

A. Irrigate the wound until the solution that is draining is clear. B. Chill the irrigant prior to the procedure. C. Hold the tip of the syringe at least 1.3 cm (0.5 in) above the wound while irrigating. D. Flush the wound from the most contaminated area to the cleanest area.

Correct Answer is A

Explanation

Choice A rationale:

The goal of wound irrigation is to clean the wound, so the nurse should continue to irrigate until the drainage is clear.

Choice B rationale:

The irrigant should be at room temperature, not chilled.

Choice C rationale:

The syringe should be held 1 inch (not 0.5 inch) from the wound.

Choice D rationale:

The wound should be flushed from the cleanest area to the most contaminated, not the other way around.

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When preparing to change a sterile dressing over an incision, it is most important to remember to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After closing the curtain around the client's bed, you lift his gown to expose the horizontal abdominal wound and assist the client into a comfortable position for wound irrigation.Which of the following positions is appropriate for the irrigation of his wound?

Correct Answer is A

Explanation

A nurse is preparing to assist with irrigating a wound for a client.Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse is collecting data on a client.Which of the following findings increase the client's risk of a pressure injury?

The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center.You would document this wound as:

Many factors aid healing.You assist the patient to specifically improve his healing ability by encouraging (Select all that apply.)

A nurse performing a right eye irrigation will position the patient:

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Safety factors involved in using an Aquathermia pad unit for a patient include (Select all that apply.)

A nurse explains that the major purpose of the use of a hydrocolloid dressing is to:

A nurse is caring for a client who has heavy drainage from a moist red wound that is bleeding.Which of the following types of dressings should the nurse select to help promote hemostasis?