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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
To answer the question, the nurse should first calculate the dose of ondansetron in mL. The formula is:
Dose (mL) = Ordered dose (mg) / Available dose (mg/mL)
Plugging in the values, we get:
Dose (mL) = 4 mg / 2 mg/mL
Dose (mL) = 2 mL
Correct Answer is D
Explanation
A. While the Department of Health and Human Services may play a role, FEMA is the primary agency responsible for coordinating federal disaster response and recovery efforts.
B. The American Red Cross is a humanitarian organization that provides assistance during disasters but is not a government agency like FEMA.
C. The CDC focuses on public health and disease prevention but is not the primary agency for overall disaster response.
D. FEMA is the federal agency responsible for coordinating disaster response and recovery efforts in the United States. Collaboration with FEMA is crucial for an effective emergency response plan.
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