The nurse obtains a specimen from the client's wound. Which items will the nurse include when documenting this procedure in the medical record?
1. Source of specimen
2. Type of culture obtained
3. Appearance of wound
4. Dispersal of the specimen
5. Microorganism causing infection
1, 2, 3, 4
Rationale 1: The nurse would document the source of the specimen.
Rationale 2: The nurse would document whether aerobic or anaerobic culture was obtained.
Rationale 3: The nurse would document the appearance of wound.
Rationale 4: The nurse would document what was done with the specimen.
Rationale 5: The microorganism is unknown, or there would be no need for a culture.
Global Rationale: The nurse would document the source of the specimen, whether aerobic or anaerobic culture was obtained, appearance of wound, and what was done with the specimen. The microorganism is unknown, or there would be no need for a culture.
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