A nurse is assisting with performing a skin preparation for a client who is scheduled for surgery. Which of the following actions should the nurse take?

Use a new sponge each time the surgical site is scrubbed.

Cleanse the surgical site with a povidone-iodine solution.

Shave the client’s hair near the surgical site.

Scrub the surgical site starting at the outer edge and moving inwards

Answer and Explanation

The Correct Answer is A

A.   This is because using the same sponge repeatedly can introduce bacteria and other contaminants to the surgical site, increasing the risk of infection.
B.   Cleansing the surgical site with a povidone-iodine solution is not recommended because it can cause skin irritation and allergic reactions. The nurse should use a chlorhexidine-based antiseptic solution instead, which is more effective and less toxic.
C.   Shaving the client's hair near the surgical site is generally avoided, as it can increase the risk of infection. Hair removal, if needed, is often done with clippers.
D.   The surgical site should be scrubbed starting at the center and moving outwards in a circular motion.

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Correct Answer is A

Explanation

A. Ensuring the prosthesis socket is dry helps prevent skin irritation, discomfort, and the potential for infection.
B. Applying moisturizing lotion or oil can make the skin too slippery, affecting the fit and function of the prosthesis.
C. The prosthesis should not be in direct contact with the residual limb; a liner or sock is typically worn.
D. Skin irritation should be minimized, and any persistent issues should be addressed with the prosthetist. Expecting irritation as a norm is not appropriate.

A. Client has a BMI of 16 B. History of type 2 diabetes mellitus C. Client is a nonsmoker D. Budesonide 6 mg PO qd

Correct Answer is ["A","B","D"]

Explanation

A. Low body mass index (BMI) can be associated with malnutrition, which may compromise the immune system and increase susceptibility to infection.
B. Diabetes can weaken the immune system and increase the risk of infections.
C. Smoking is a risk factor for various health issues, but it is not a direct factor that increases susceptibility to infection in this context. The client is a non-smoker.
D. Budesonide is a corticosteroid, and prolonged use of corticosteroids can suppress the immune system, making the individual more susceptible to infections.

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A nurse is assisting with performing a skin preparation for a client who is scheduled for surgery. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about prosthesis care for a client following a below-the- knee amputation. Which of the following statements should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is assisting in the care of a client. Medication Administration Record Laboratory Results Hct 47% (379% to 52%) Hgb 16 g/dL (12 to 18 g/dL) Potassium 3.6 mEq/L (3.5 to 5.0 mEq/L) Select the findings that increase the client’s susceptibility to infection. To unselect

Correct Answer is ["A","B","D"]

Explanation

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