The nurse is collecting a specimen for a wound culture. What should be avoided when collecting this specimen?
a. A dressing
b. Deep in the wound
c. The outer edge of the wound
d. Old drainage
ANS: D
The nurse should not collect a wound culture from old drainage.
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Which of the following best explains why many people decide to move to large urban areas?
a. To be eligible for social aid b. To be with friends c. To join family who are already there d. To seek employment
The nurse notes excessive swelling of the ankles and legs in a patient with a history of congestive heart failure. What would be a recommended change to this patient's care plan?
A) Reduce oxygen B) Reduce ambulation C) Encourage deep breathing D) Implement dietary changes
A patient is postoperative day 3 following the successful transplantation of a kidney. The nurse is aware of the importance of assessing the patient for signs and symptoms of rejection
Consequently, the nurse is constantly monitoring the patient for: A) Decreased level of consciousness and pruritus B) Oliguria and edema C) Pain and hematuria D) Weight loss and lethargy
The nurse has just completed insertion of a nasogastric tube that is needed for gastric lavage of a client. Radiographic confirmation of placement is not possible at this time, so the nurse should use which method to best determine tube placement?
A. Aspirate gastric contents and determine the bilirubin level. B. Observe for signs of respiratory distress. C. Determine that the pH of the gastric aspirate is below 4. D. Detect for carbon dioxide and determine the gastric pH.