An appropriate technique for the nurse to use when culturing wound drainage that is suspected to contain anaerobic bacteria is to:

a. use older secretions for the specimen.
b. add exudate from the skin to the wound specimen.
c. aspirate 5 to 10 mL of exudate from a deep cavity wound.
d. swab carefully and slowly in a back-and-forth motion across the wound.


C
Take a swab from a special anaerobic culture tube, swab deeply into the draining body cavity, and rotate gently. Remove the swab and return it to the culture tube, or insert the tip of a syringe into the tube, and aspirate 5 to 10 mL of exudate. Cleanse the area around the wound edges with an antiseptic swab. This removes old exudate and skin flora, preventing possible contamination of the specimen. Never collect exudate from the skin unless it is a separate culture and is labeled as such.

Nursing

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A nurse is teaching new and very young parents about safe sleeping practices for their newborn son and asks to hear them describe their nursery and their plans for the baby's sleeping arrangements

What information from the parents would indicate that they did not understand the discharge teaching? (Select all that apply.) A. "A friend bought an air purifier that prevents SIDS." B. "He can have a pacifier when he takes a nap." C. "Our bed is big enough for all three of us." D. "The crib is soft with lots of snuggly blankets." E. "We won't let the grandparents smoke in our house."

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Which is not a useful strategy for communicating with a person experiencing cognitive impairment?

a. Speak slowly and allow time for response. b. Employ humor appropriately. c. Correct the person loudly and repeat until understood. d. Use multiple ways of communicating, such as by gesture and touch as well as speech.

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A plan to achieve adequate pain relief without maternal risk is most effective if the:

1. mother gives birth without any analgesic or anesthetic. 2. mother and family's priorities and preferences are incorporated into the plan. 3. primary health care provider decides the best pain relief for the mother and fami-ly. 4. nurse informs the family of all alternative methods of pain relief available in the hospital setting.

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All vaginal discharge should be assessed during pregnancy because it may indicate:

A) Placenta previa. B) Vaginal infection. C) Premature rupture of membranes. D) All of the above.

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