The nurse determines that the client's wound may be infected. In order to perform an aerobic wound culture, which of the following actions should the nurse take?
a. Collect the superficial drainage.
b. Collect the culture before cleansing the wound.
c. Obtain a culturette tube and use sterile technique.
d. Use the same technique as for collecting an anaerobic culture.
C
To collect an aerobic wound culture, the nurse uses a sterile swab from a culturette tube and ster-ile technique.
The nurse never collects a wound-culture sample from old or superficial drainage. Resident col-onies of bacteria from the skin grow in superficial drainage and may not be the true causative organisms of a wound infection.
The nurse should clean the wound first with normal saline to remove skin flora, before obtaining the culture.
The nurse uses different methods of specimen collection for aerobic or anaerobic organisms.
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The nurse explains that a lumbar puncture is most helpful as a diagnostic tool for a new stroke patient, because it can help determine if the stroke:
1. is lacunar. 2. is hemorrhagic or embolic. 3. is complete or in evolution. 4. will result in paralysis.
At a prenatal appointment, a woman who is 3 months pregnant confides to you that she ingests starch because of a craving she has had since adolescence. She is now 26 years old. What would be your most appropriate response?
A) Arrange for a separate appointment to prepare instructions about the hazards of ingesting nonfood substances. B) Emphasize the protein, vitamin, and iron needs of pregnancy nutrition. C) Suggest she have a hemoglobin assessment done because of the association between pica and iron-deficiency anemia. D) Kindly but firmly scold her to discourage the habit.
A patient with active tuberculosis who has been taking isoniazid (INH, Nydrazid) and rifampin (RIF, Rifadin) reports having urine that is an orange color. What your best action?
a. Obtain a specimen for culture and test the urine for occult blood. b. Reassure the patient that this is a normal drug side effect. c. Hold the dose and contact the prescriber. d. Document the report as the only action.
Particulate matter varies in size, and the size determines the site of the deposition in the respiratory system. The nursing student is taught that this means that
A. The larger the particulate, the more hazardous B. The smaller the particulate, the more hazardous C. The size of the particulate is not important D. The lungs and dust masks can take care of the particulates