A nurse is attending to a patient with a wound infection.
What should the nurse do when collecting a wound-drainage specimen for culture?

Swab an area of skin away from the wound to identify the usual flora.

Irrigate the wound with an antiseptic prior to obtaining the specimen.

Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen.

Include intact skin at the wound edges in the culture.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Swabbing an area of skin away from the wound to identify the usual flora is not the correct action. This would not provide a representative sample of the wound infection.

Choice B rationale

Irrigating the wound with an antiseptic prior to obtaining the specimen is not the correct action. This could potentially alter the results of the culture.

Choice C rationale

Cleansing the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen is the correct action. This helps to remove surface bacteria and ensures a more accurate culture result.

Choice D rationale

Including intact skin at the wound edges in the culture is not the correct action. This could contaminate the specimen with bacteria that are not part of the wound infection.

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Correct Answer is C

Explanation

Choice A rationale

Bumetanide is a diuretic, which means it helps your body get rid of extra water. This can make you urinate more often. Taking the second dose at night could disrupt your sleep.

Choice B rationale

While it’s important to monitor fluid intake when taking a diuretic, there’s no specific requirement to limit fluid intake to 1.5 liters a day. Fluid needs can vary based on individual circumstances.

Choice C rationale

Bumetanide can sometimes cause hearing changes or loss, which is usually reversible once the medication is stopped. Therefore, patients should report any changes in hearing to their healthcare provider.

Choice D rationale

Bumetanide can cause the body to lose potassium, which is an important nutrient for heart function. Therefore, it’s usually recommended to consume foods high in potassium, not avoid them.

Correct Answer is ["4"]

Explanation

Step 1 is: Identify the dose ordered and the dose available. The dose ordered is 40 mg and the dose available is 10 mg/mL.

Step 2 is: Set up the equation to calculate the volume to administer: (40 mg ÷ 10 mg/mL) = 4 mL.

So, the nurse should administer 4 mL per dose.

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A nurse is attending to a patient with a wound infection.What should the nurse do when collecting a wound-drainage specimen for culture?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is attending to a patient with a wound infection.
What should the nurse do when collecting a wound-drainage specimen for culture?