A nurse is assessing a postoperative wound and notes purulent drainage. What should the nurse do first?
Document the findings and notify the healthcare provider.
Increase the frequency of dressing changes.
Clean the wound with sterile saline and apply a new dressing
Reassess the wound for additional signs of infection later in the shift.
The Correct Answer is A
A. Document the findings and notify the healthcare provider: Purulent drainage is a clear sign of infection and may indicate a need for prompt medical intervention, such as antibiotics. The nurse’s first action should be to notify the provider and document the findings to ensure timely, appropriate care.
B. Increase the frequency of dressing changes: While changing the dressing may help manage drainage, it does not address the underlying infection or the need for provider-directed treatment. Immediate notification is more critical.
C. Clean the wound with sterile saline and apply a new dressing: Maintaining wound hygiene is important, but it should follow assessment and provider notification. Acting first without notifying the provider may delay necessary treatment.
D. Reassess the wound for additional signs of infection later in the shift: Delaying assessment could allow the infection to worsen. Immediate documentation and communication with the provider are essential to prevent complications.
Nursing Test Bank
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Related Questions
Correct Answer is B
Explanation
A. To ensure that all medications are administered by a physician: Medications are administered by licensed nurses, pharmacists, and other qualified healthcare professionals, not exclusively by physicians. This is not the focus of the National Patient Safety Goals.
B. To improve the safety of using medications through accurate medication reconciliation: The primary objective is to prevent medication errors by ensuring accurate and complete medication information is communicated across transitions of care. Medication reconciliation reduces errors such as omissions, duplications, dosing mistakes, and drug interactions, thereby improving patient safety.
C. To ensure that patients receive medications on time: Timely administration is important for efficacy but is not the main goal of the Joint Commission’s medication safety standards. The emphasis is on accuracy and safety rather than scheduling.
D. To reduce the cost of medications for patients: Cost reduction is not addressed by the Joint Commission’s National Patient Safety Goals. The focus is strictly on safe medication practices to prevent harm.
Correct Answer is A
Explanation
A. The first formally educated Black nurse in the United States: Mary Eliza Mahoney graduated from the New England Hospital for Women and Children Training School for Nurses in 1879. She is celebrated as the first African American to complete formal professional nursing education in the U.S., paving the way for diversity in the profession.
B. The first nurse appointed to the Army Nurse Corps: This distinction belongs to Annie W. Goodrich, who helped establish and lead the Army Nurse Corps. It is not associated with Mary Mahoney.
C. The first woman to establish a nursing school in the United States: Florence Nightingale inspired nursing education reforms, and several American pioneers established nursing schools, but Mary Mahoney did not found a school.
D. The founder of the first public health nursing program: Lillian Wald is credited with founding the Henry Street Settlement and initiating public health nursing. Mary Mahoney’s primary contribution was as a trailblazer in professional nursing education.
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