The nurse notices a change in wound drainage and gets an order for a culture. Nursing care is appropriate if which technique is used?
a. Obtain samples of both skin and wound exudate.
b. Rotate sterile swabs at a deep point in the wound.
c. Use older secretions for a more valid spe-cimen.
d. Move the swabs back and forth across the wound.
B
To obtain a wound culture, the nurse rotates the sterile aerobic and anaerobic swabs deep within the wound to obtain a sample of wound exudate that potentially has not yet reached the wound edges. Moving the swab in a back-and-forth motion risks cross-contamination. The nurse avoids contaminating the wound culture with normal skin flora. The nurse also avoids using older secre-tions from the wound because the older secretions do not reflect the status of the wound.
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The nurse is developing a plan of care for an obese patient with hypertension. The nursing diagnosis is noncompliance with dietary regimen related to knowledge deficit and lifestyle
Which of the following would be an appropriate expected outcome for this diagnosis? A) No evidence of peripheral edema B) Limits visitors to family in the evenings C) Absence of infection D) Identifies harmful effects of obesity
A client tells the nurse that, even though it has been 4 months since her sister's death, she frequently finds herself crying uncontrollably. How should the nurse respond?
a. "Most people move on within a few months. You should see a grief counselor." b. "Whenever you start to cry, distract yourself from thoughts of your sister." c. "You should try not to cry. I'm sure your sister is in a better place now." d. "Your feelings are completely normal and may continue for a long time."
Which pulse site is used for children under 2 years old?
a. The radial site b. The apical site c. The carotid site d. The brachial site
Shelly is a home-care pediatric nurse. Tonight she is taking care of Ellen. Ellen has a PICC line and requires IV antibiotics via a pump to be given during Shelly's shift. Shelly knows the IV pump is used because:
1. The pump can deliver medication faster through a PICC. 2. The pump has built-in, customized software to prevent errors when delivering medications. 3. The pump is not required. It is just a preference. 4. The pump can tell Shelly when the medication has been completely delivered.