The nurse obtains a specimen from the client's wound. Which items will the nurse include when documenting this procedure in the medical record?
Select all that apply.
1. Source of specimen
2. Type of culture obtained
3. Appearance of wound
4. Dispersal of the specimen
5. Microorganism causing infection
Correct Answer: 1,2,3,4
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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A nurse educator is teaching pharmacokinetics to the pharmacology class. What statement, made by a student, would show the class understands this term?
1. "Pharmacokinetics is what the body does to a drug." 2. "Pharmacokinetics is how drugs activate specific receptors." 3. "Pharmacokinetics is what a drug does to the body." 4. "Pharmacokinetics is the efficacy of a drug."
A pregnant client receiving oxytocin for labor induction begins demonstrating adverse effects of the medication. In which order should the nurse provide care to this client?
1. Notify the healthcare provider. 2. Discontinue the oxytocin infusion. 3. Position the client onto the left side. 4. Infuse prescribed intravenous fluids. 5. Administer oxygen 8 to 10 L per tight face mask.
The nurse plans to teach a client with human immunodeficiency virus (HIV) infection about zidovudine (Retrovir). What will the best plan by the nurse include?
1. Zidovudine (Retrovir) will need to be stopped if bone marrow depression occurs. 2. Zidovudine (Retrovir) will slow the disease, but not cure it. 3. Zidovudine (Retrovir) prevents spread of the virus through sexual contact. 4. Zidovudine (Retrovir) is only administered to male patients. 5. Zidovudine (Retrovir) therapy frequently results in the development of anemia.
A nurse performs purified protein derivative and Candida skin tests on a patient suspected of TB. After 48 hours, what finding at the injection sites should the nurse document as a positive result?
a. Warmth b. Redness c. Induration d. Purulent discharge