The adult patient is found to be unresponsive and not breathing. Which pulse site will the nurse use?

A. Irrigate the wound with antiseptic, swab over granulation tissue, and replace swab in culture tube:
Antiseptics can kill surface organisms and affect culture results. Saline is preferred for accurate sampling.

B. Irrigate the wound with saline, swab over granulation tissue, and replace swab in culture tube:
Saline irrigation removes surface contaminants, and swabbing granulation tissue provides the best sample of infecting organisms.

C. Irrigate the wound with antiseptic, swab over eschar, and replace swab in culture tube:
Eschar is dead tissue and will not yield accurate infection results. Antiseptic also reduces accuracy.

D. Swab over granulation tissue, replace swab in culture tube, and redress the wound:
Skipping irrigation may allow contamination from surface bacteria, reducing accuracy.

A. Hold the shaft of the penis at a 60-degree angle:
The penis should be held at a 90-degree angle (perpendicular to the body) to straighten the urethra and ease catheter insertion.

B. Hold the shaft of the penis with the dominant hand:
The non-dominant hand is used to hold the penis and is considered contaminated after touching the patient. The dominant hand inserts the catheter using sterile technique.

C. Cleanse the meatus 3 times with the same cotton ball from clean to dirty:
A new cotton ball or swab should be used each time to prevent contamination. "Clean to dirty" implies incorrect direction-meatus is the cleanest part.

D. Cleanse the meatus with circular strokes beginning at the meatus and working outward:
This is the correct technique for male catheterization. Start at the urethral opening and clean outward using sterile technique.