A nurse is preparing to irrigate a wound for a patient. What actions should the nurse plan to take?

Chill the irrigant prior to the procedure.

Irrigate the wound until the solution that is draining is clean.

Hold the tip of the syringe at least 13 cm (0.5 in) above the wound while irrigating.

Flush the wound from the most contaminated area to the cleanest area.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Chilling the irrigant prior to the procedure is not recommended. Cold irrigant can cause discomfort and potentially lead to vasoconstriction, which can impede the healing process.

Choice B rationale

Irrigating the wound until the solution that is draining is clean is a standard practice in wound care. This helps to ensure that all debris and potential contaminants are removed from the wound.

Choice C rationale

Holding the tip of the syringe at least 13 cm (0.5 in) above the wound while irrigating is not a standard practice. The syringe should be held close to the wound to ensure effective irrigation.

Choice D rationale

Flushing the wound from the most contaminated area to the cleanest area is not a standard practice. The wound should be irrigated from the cleanest to the dirtiest area to prevent the spread of contamination.

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Correct Answer is C

Explanation

If the nurse suspects the catheter is not in the urethra, they should leave the catheter in the vagina as a landmark for insertion of a new, sterile catheter.

A. Colonoscopy B. Endoscopic retrograde cholangiopancreatography (ERCP) C. Upper GI series D. Upper GI endoscopy .

Correct Answer is A

Explanation

Choice A rationale

A colonoscopy is the standard investigation for colorectal cancer. It allows for the visualization of the entire colon and rectum, and can also allow for the removal of polyps and the taking of biopsies if needed.

Choice B rationale

Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure used to diagnose diseases of the gallbladder, biliary system, pancreas, and liver, not rectal cancer.

Choice C rationale

An upper GI series, which involves X-rays of the esophagus, stomach, and small intestine, would not be used for screening for rectal cancer.

Choice D rationale

An upper GI endoscopy, which involves the use of a flexible endoscope to visualize the esophagus, stomach, and duodenum, would not be used for screening for rectal cancer.

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A nurse is preparing to irrigate a wound for a patient. What actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is inserting a catheter into a female patient. When the nurse inserts the catheter, no urine is obtained. The nurse suspects the catheter is not in the urethra. What should the nurse do?

Correct Answer is C

Explanation

A nurse is planning care for a patient who requires screening for rectal cancer. Which of the following tests should the nurse anticipate in the patient’s plan of care?

Correct Answer is A

Explanation

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