Which technique should the nurse use to culture wound drainage?
1. Obtain skin and wound exudate.
2. Rotate swab at deep point in wound.
3. Use older secretions for the specimen.
4. Swab back and forth across the wound.
2
2. 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 to obtain a specimen that potentially has not yet reached the wound edges.
1. The nurse avoids contaminating the wound culture with normal skin flora.
3. The nurse avoids using older secretions from the wound because the older secre-tions do not reflect the status of the wound.
4. The nurse avoids using a back-and-forth motion to obtain a wound culture to avoid cross-contamination.
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A nursing unit is frequently short-staffed. Many agency nurses work to fill staff nurse vacancies. The manager has hired many new graduates, but most leave in less than 1 year. This may be the result of a lack of:
a. continuity of care. b. formal leadership. c. ethical behaviors. d. shared assumptions.
Which of the following represents a barrier to the provision of family-focused nursing care in the acute care setting?
1. Nurse's beliefs that family members often interfere with the ability to provide quality care to the hospitalized family member 2. Family beliefs about the need to protect their hospitalized member by being involved with decisions about nursing care 3. Nurse's successful mastery of technology and electronic medical record allowing the nurse time to answer questions of family members 4. Nurse's focus on family involvement in discharge planning at the time of hospital admission
The recently widowed 65-year-old man has told the nurse that he is so lost without his wife that he is planning to retire, sell his home, and move to a retirement village in another state. What assessment by the nurse would be the most correct?
a. Positive, because it represents a new beginning b. Positive, because it allows him more time to resolve his grief c. Risky, because he is giving up significant supports to his self-image and grief resolution process d. Negative, because he has not thought his plan through
You are caring for Mrs. Hennecke, a patient with diabetes. What type of foot care should you give?
A. Have her go barefoot, so her shoes will not rub blisters on her feet. B. Wash her feet daily and dry them carefully, especially between the toes. C. Cut her toenails daily, to avoid scratches or torn nails. D. Wash her feet only twice per week, to avoid drying the skin on her feet.