To protect against one of the adverse effects of using sodium hypochlorite for wound care the nurse should:
a. cleanse the wound with iodine prior to packing with sodium hypochlorite.
b. monitor serum electrolyte level and hemoglobin and hematocrit levels.
c. apply petroleum jelly to the skin around the wound.
d. monitor for CNS symptoms
ANS: C
Feedback
A Incorrect: The sodium hypochlorite cleanses the wound.
B Incorrect: Sodium hypochlorite used in wound care does not impact electrolytes or hemoglobin/hematocrit levels.
C Correct: This action is to protect the healthy tissues surrounding the wound, because sodium hypochlorite can injure healthy tissue.
D Incorrect: Sodium hypochlorite used in wound care does not cause CNS dysfunction.
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