Prior to beginning a client's intravenous antibiotics the nurse needs to culture the wound. In which order should the nurse perform the steps to obtain this culture? 2. Use non–cotton-tipped swab 6. Place swab in culture medium 3. Rotate swab while obtaining specimen
1. Rinse wound thoroughly with sterile saline
5. Do not take specimen from exudate or eschar
4. Swab edges starting at top, crisscross wound to bottom
4, 1, 3, 6, 5, 2
Rationale 1: Non-cotton tipped swabs are to be used.
Rationale 2: The swab should be placed in culture medium.
Rationale 3: The swab should be rotated.
Rationale 4: The wound is to be rinsed first with sterile saline.
Rationale 5: Areas with exudate or eschar are to be avoided.
Rationale 6: The wound edges should be swabbed starting at the top, moving crisscross across the wound to the bottom.
Global Rationale: When obtaining a wound culture the nurse should: rinse wound thoroughly with sterile saline; use non–cotton-tipped swab; rotate swab while obtaining specimen; swab edges starting at top, crisscross wound to bottom; do not take specimen from exudate or eschar; and place the swab in culture medium and take to laboratory immediately.
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