A nurse is giving a client instructions for showering with special antimicrobial soap the night before surgery. What instruction is most appropriate?
a. "After you wash the surgical site, shave that area with your own razor."
b. "Be sure to wash the area where you will have surgery very thoroughly."
c. "Use a washcloth to wash the surgical site; do not take a full shower or bath."
d. "Wash the surgical site first, then shampoo and wash the rest of your body."
ANS: B
The entire proposed surgical site needs to be washed thoroughly and completely with the antimicrobial soap. Shaving, if absolutely necessary, should be done in the operative suite immediately before the operation begins, using sterile equipment. The client needs a full shower or bath (shower preferred). The client should wash the surgical site last; dirty water from shampooing will run over the cleansed site if the site is washed first.
You might also like to view...
The nurse is caring for an older patient who has been the victim of elder abuse by an adult son. According to the transgenerational violence theory of elder mistreatment, which situation would have occurred with the patient?
1. The son is an alcoholic. 2. The care of the patient has overwhelmed the son. 3. The patient was abusive to the son when he was a child. 4. As a child, the son witnessed the father beating the mother.
A patient who just suffered a suspected ischemic stroke is brought to the ED by ambulance. On what should the nurse's primary assessment focus?
A) Cardiac and respiratory status B) Seizure activity C) Pain D) Fluid and electrolyte balance
A patient with a history of mitral valve stenosis is placed on a cardiac monitor. Which arrhythmia would the nurse anticipate since it is a common rhythm for patients with this history?
1. Ventricular tachycardia 2. Third-degree heart block 3. Junctional rhythm 4. Atrial fibrillation
A deficiency of oxygen in the body tissues is known as:
a. hypercapnia. b. hypocapnia. c. hypoxia. d. hypoxaemia.