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 B

Explanation

A. Gently reinsert the bowel back into the patient’s wound. B. Place the head of the patient’s bed in the flat position. C. Apply moistened sterile gauze to the site. D. Position the patient on his left side.

Correct Answer is C

Explanation

Choice A rationale

Gently reinserting the bowel back into the patient’s wound is not recommended. This could cause further harm to the patient.

Choice B rationale

Placing the head of the patient’s bed in the flat position is not the best action. This position may not provide the necessary comfort or safety for the patient.

Choice C rationale

Applying moistened sterile gauze to the site is the correct action. This helps to protect the protruding bowel and prevent further contamination until surgical intervention can be performed.

Choice D rationale

Positioning the patient on his left side is not the best action in this situation. It does not directly address the issue of the protruding bowel.

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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?