The initial plan of care for a patient with a contaminated dog bite wound, with an animal that is available for testing, should include:
A) administering a rabies vaccination.
B) administering antivenom.
C) suturing the wound.
D) irrigating and debriding the wound.
D) irrigating and debriding the wound.
Explanation: A) Immunoglobulin therapy against rabies should be considered if the bite is from a high-risk species and the animal is not available for testing; however, rabies vaccination will not clean a contaminated dog-bite wound.
B) Antivenom is not needed with a dog bite.
C) If the wound appears clean and there is little risk of contamination, it can be sutured. However, if there is concern about infection or wound contamination, the wound should be left open to close by secondary intention.
D) Meticulous irrigation and debridement of any foreign material and saliva must be undertaken to clean the bite injury.
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