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 B

Explanation

A. Continuous passive motion (CPM) machines are typically used after joint surgeries, not thoracic surgeries.
B. A chest tube is often used postoperatively after a lobectomy to drain excess air, fluid, or blood from the pleural space.
C. A three-way urethral catheter may be used for urinary drainage, but it is not specific to thoracic surgery.
D. Electroencephalography (EEG) monitoring wires are used for monitoring brain activity and are not typically used in the postoperative care of a client following a lobectomy.

A. I will schedule important tasks in the afternoon. B. I need to perform range-of-motion of my joints if I notice they are red. C. I should stop exercising if 1 experience any discomfort. D. I can use heat or cold to help relieve my pain

Correct Answer is D

Explanation

A. Scheduling important tasks in the afternoon is a good strategy for managing fatigue, it does not directly address pain relief.
B. Performing range-of-motion if joints are red may exacerbate inflammation and is not a recommended practice.
C. Stopping exercising if experiencing discomfort is essential to differentiate between normal discomfort and pain that may indicate potential harm. Continuing with mild discomfort may be appropriate.
D. Both heat and cold applications can provide relief from rheumatoid arthritis pain and inflammation.

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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?

Nursing Test Bank

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Correct Answer is D

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