The nurse is collecting a culture of a wound. During the procedure, the patient asks what is a culture? Which of the following is the best response by the nurse to explain why she is culturing the wound?

"A culture identifies an antibiotic's effect on a pathogen."

"A culture determines the appropriate medication dose."

"A culture measures antibiotic levels."

"A culture identifies the presence of pathogens."

Answer and Explanation

The Correct Answer is D

A.   "A culture identifies an antibiotic's effect on a pathogen.": Cultures do not determine the effect of antibiotics on pathogens; they identify the presence of pathogens and their susceptibility to antibiotics.
B.   "A culture determines the appropriate medication dose.": Cultures do not determine medication doses; they identify pathogens and guide antibiotic selection based on susceptibility testing.
C.   "A culture measures antibiotic levels.": Cultures do not measure antibiotic levels; they identify pathogens and their susceptibility to antibiotics.
D.   "A culture identifies the presence of pathogens.": This is the correct explanation. A wound culture is performed to identify any microorganisms present in the wound, such as bacteria or fungi, which helps guide appropriate treatment.

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Correct Answer is ["B","D","E"]

Explanation

A. Hypoglycemic: Hypoglycemia is not typically considered a sign or symptom of sepsis. In sepsis, blood glucose levels may fluctuate, but hypoglycemia is less common.
B. Elevated White Blood Count: An elevated white blood count (leukocytosis) is a common sign of sepsis, indicating the body's immune response to infection.
C. Pruritus: Pruritus, or itching, is not typically associated with sepsis. Itching may occur in certain skin conditions or allergic reactions but is not a hallmark sign of sepsis.
D. Hypotension: Hypotension, or low blood pressure, is a serious sign of sepsis and can indicate septic shock, a life-threatening complication.
E. Altered Mental Status: Altered mental status, such as confusion, disorientation, or decreased level of consciousness, can occur in sepsis due to systemic inflammation and impaired perfusion to the brain.

A. Document the client's history of skin allergies. B. Photograph the lesion for the client's medical record. C. Identify when the client first noticed the lesion. D. Instruct the client on the use of daily sunscreen products.

Correct Answer is C

Explanation

A. Document the client's history of skin allergies: While important for the client's overall care, documenting the history of skin allergies is not the priority when assessing a new skin lesion.
B. Photograph the lesion for the client's medical record: Documenting the appearance of the lesion is important for the client's medical record, but it is not the priority when initially assessing the lesion.
C. Identify when the client first noticed the lesion: The priority is to gather information about the onset and characteristics of the lesion to determine its potential severity and urgency of intervention.
D. Instruct the client on the use of daily sunscreen products: While sun protection is important for skin health, it is not the priority when assessing a new skin lesion.

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The nurse is collecting a culture of a wound. During the procedure, the patient asks what is a culture? Which of the following is the best response by the nurse to explain why she is culturing the wound?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data on a client who has an infection. Which of the following findings are signs and symptoms of sepsis? (Select All that Apply.)

Correct Answer is ["B","D","E"]

Explanation

A nurse is collecting data from a client who reports finding a new skin lesion. Which of the following actions is the nurse's priority?

Correct Answer is C

Explanation

A nurse working on a medical-surgical unit suspects that several clients have Clostridium Difficile (C-Diff) when they all develop watery diarrhea. Which of the following actions should the nurse plan to take while waiting for the client's lab results?

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The nurse has contributed to a staff education program about the principles for the first tier of standard precautions. Which statement by a nursing student indicates a correct understanding of the teaching?

The nurse works in an office with a dermatologist. What equipment is most important to have readily available when a patient is undergoing skin testing for allergies?

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A nurse in a provider's office is collecting data from a client who has skin lesions. The nurse notes that the lesions are 2.5 cm in size, elevated, solid, and deep. The nurse should document the findings as which of the following skin lesions?