The nurse is going to obtain a culture from a wound. Which of the following should the nurse do first?
a. Irrigate the wound with antiseptic before culturing.
b. Irrigate the wound with normal saline before culturing.
c. Culture any eschar there may be in the wound.
d. Culture the edges of the wound.
B
The wound should be irrigated with normal saline prior to culturing because it decreases the risk of culturing normal flora. Irrigating with an antiseptic prior to culturing may destroy the bacteria. The goal is to identify bacteria that are invading the tissues so slough or eschar should be avoided. The area of the wound with the most exudate should be cultured, near the center of the wound and not the edges.
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A client had an inferior wall myocardial infarction (MI). The nurse notes the client's cardiac rhythm as shown below:
What action by the nurse is most important? a. Assess the client's blood pressure and level of consciousness. b. Call the health care provider or the Rapid Response Team. c. Obtain a permit for an emergency temporary pacemaker insertion. d. Prepare to administer antidysrhythmic medication.
There were no nursing research breakthroughs until the 1990s
A) True B) False
A child is being prepared for an invasive procedure. The mother of the child has legal custody but is not present. After details of the procedure are explained, who can provide legal consent on behalf of a minor child for treatment?
1. The divorced parent without custody 2. A cohabitating unmarried boyfriend of the child's mother 3. A grandparent who lives in the home with the child 4. A babysitter with written proxy consent
When the patient is sitting in a chair or wheelchair, the thighs must be at a 90° angle to the torso.
Answer the following statement true (T) or false (F)