The nurse is caring for a client with a large abdominal wound. The nurse knows to cleanse the wound from the inner to outer area. What is the rationale for cleaning the wound in this manner?

Prevent introduction of different organisms into the wound

Decrease swelling in wound area from accumulation of organisms

Decrease the pain caused by organisms that may have collected

Render area sterile

Answer and Explanation

The Correct Answer is A

A.   Cleaning the wound from the inner to outer area helps prevent introducing microorganisms from the surrounding skin into the wound, reducing the risk of infection.
B.   While preventing infection may indirectly reduce swelling associated with inflammation, the primary rationale for cleansing the wound in this manner is to minimize the introduction of microorganisms.

C.   Pain reduction is not the primary goal of cleaning the wound from the inner to outer area, although minimizing the risk of infection may help prevent secondary pain caused by infection.
D.   While maintaining a clean environment is essential for wound care, the goal of cleansing the wound in this manner is to reduce the risk of introducing microorganisms, not to achieve sterility.

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Correct Answer is C

Explanation

A. Benign tumors generally grow slower than cancerous cells, so this statement is inaccurate.
B. Benign tumors are not cancerous; they do not invade nearby tissues or spread to other parts of the body.
C. Benign tumors are non-cancerous growths that do not invade nearby tissues or spread to other parts of the body. Therefore, they typically do not impair the function of the organ where they are located.
D. Unlike malignant tumors, benign tumors do not spread to other organs or lymph nodes.

Correct Answer is ["0.6"]

Explanation

To calculate the amount of heparin sodium that the patient will receive per dose, we need to use the following formula:

mL per dose = (units ordered / units available) x mL available Plugging in the values from the question, we get:

mL per dose = (6000 / 10000) x 1 mL per dose = 0.6 x 1

mL per dose = 0.6

Therefore, the patient will receive 0.6 mL of heparin sodium per dose.

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The nurse is caring for a client with a large abdominal wound. The nurse knows to cleanse the wound from the inner to outer area. What is the rationale for cleaning the wound in this manner?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse what is meant by the term benign. Which response by the nurse is best?

Correct Answer is C

Explanation

The physician orders heparin sodium 6000 units SQ. The pharmacy sends the following vial of heparin. How many mL will the patient receive per dose? (Round to the nearest tenth and label your answer.)

Correct Answer is ["0.6"]

Explanation

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