80. A nurse is preparing to obtain a wound drainage specimen for culture from a client who has a nonhealing burn injury. In what order should the nurse collect this specimen? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Place the swab in the culture container.
Ensure the container is labeled with the date and time of collection.
Apply clean gloves.
Swab the wound in a zig-zag manner.
The Correct Answer is C,D,A,B
Rationale:
- Apply clean gloves: Wearing clean gloves is the first step to maintain standard precautions and prevent contamination during specimen collection.
- Swab the wound in a zig-zag manner: This technique ensures that the swab collects cells and fluid from multiple areas of the wound, increasing the likelihood of detecting any microorganisms present.
- Place the swab in the culture container: Immediately inserting the swab into the sterile container maintains the integrity of the specimen and prevents contamination.
- Ensure the container is labeled with the date and time of collection: Labeling the specimen is critical for accurate identification and processing by the lab. It must be done after collection to ensure the label reflects the correct time and date.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Report of itching: Itching is a common early sign of an allergic transfusion reaction. These reactions occur due to sensitivity to plasma proteins in the donor blood and may also present with hives, flushing, or mild respiratory symptoms.
B. Distended jugular veins: Jugular vein distention is a sign of fluid overload or circulatory compromise, such as transfusion-associated circulatory overload (TACO), not an allergic reaction.
C. Report of low back pain: Low back pain is more indicative of an acute hemolytic reaction, which results from ABO incompatibility. This is a serious and life-threatening reaction distinct from allergic responses.
D. Temperature 37.8° C (100° F): A mild elevation in temperature may be seen with febrile non-hemolytic transfusion reactions, which are different from allergic reactions. Allergic reactions usually involve skin and respiratory symptoms.
Correct Answer is C
Explanation
Rationale:
A. "Cauliflower is a good dietary choice”. Cauliflower is a gas-forming vegetable that can increase abdominal discomfort in clients with gallbladder disease. It is not typically recommended during symptomatic periods or recovery from cholelithiasis.
B. "Increase the amount of egg yolks in your diet." Egg yolks are high in cholesterol and fat, which can trigger gallbladder contractions and worsen symptoms in clients with cholelithiasis. These should be limited or avoided.
C. "Select desserts such as angel-food cake." Angel-food cake is low in fat and cholesterol, making it an appropriate dessert option for individuals with gallbladder disease. Low-fat and non-irritating foods are key to managing symptoms.
D. "Eat choice or prime cuts of meat." Choice or prime cuts tend to have a higher fat content. High-fat meats can exacerbate symptoms by stimulating bile production and gallbladder contractions, which should be avoided in cholelithiasis.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.