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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Sliced ham with green salad might not be the best choice for a patient with diverticulitis. Ham is a processed meat, which is generally high in fat and can be difficult to digest, potentially irritating the digestive tract. Moreover, a green salad, while generally healthy, can be high in fiber, especially if it includes raw vegetables. During a diverticulitis flare-up, a low-fiber diet is recommended.
Choice B rationale
Grilled chicken breast with white rice is an excellent choice for a patient with diverticulitis. Chicken is a lean protein that is easy to digest. White rice is a low-fiber carbohydrate that is
also easy on the digestive system. This meal is consistent with the dietary recommendations for diverticulitis during the recovery phase, which includes low-fiber foods.
Choice C rationale
A turkey sandwich with celery sticks might not be suitable for a patient with diverticulitis. While turkey is a lean protein, celery sticks are high in fiber and can be difficult to digest, potentially irritating the digestive tract.
Choice D rationale
Pork tenderloin with green peas might not be the best choice for a patient with diverticulitis. Although pork tenderloin is a lean meat, green peas are high in fiber and can be difficult to digest, potentially irritating the digestive tract.
Correct Answer is D
Explanation
Choice A rationale
A biopsy is not typically prescribed for plantar warts unless there is suspicion of a more serious condition, such as cancer.
Choice B rationale
Soaking feet in an antiseptic solution daily is not a standard treatment for plantar warts. Standard treatments include salicylic acid, cryotherapy (freezing), and other methods.
Choice C rationale
Plantar warts are not directly related to excessive foot perspiration. They are caused by the human papillomavirus (HPV) entering a cut or break in the skin.
Choice D rationale
Plantar warts may cause discomfort during walking due to their location on the soles of the feet.
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