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 A

Explanation

A. Obtain a sputum culture: Obtaining a sputum culture helps identify the causative organism of pneumonia, which guides appropriate antibiotic therapy.
B. Cough and deep breathe every 6 hours: While coughing and deep breathing exercises are important for preventing complications such as atelectasis, they are not specific to pneumonia treatment and may not be appropriate for all patients with pneumonia.
C. Encourage fluid intake of 1500 mL/day: Adequate fluid intake is generally recommended for overall health but is not a specific intervention for pneumonia treatment.
D. Position the client prone: Positioning the client prone is not a standard intervention for pneumonia treatment. Depending on the severity and type of pneumonia, the client's positioning may vary, but prone positioning is not routinely recommended.

A. Nonadherent dressing B. Paste C. Moist, sterile gauze D. Duoderm

Correct Answer is A

Explanation

A. Nonadherent dressing: Nonadherent dressings are suitable for small skin tears in older adult clients because they prevent the dressing from sticking to the wound bed, minimizing trauma during dressing changes.
B. Paste: Paste dressings are typically used for wound packing or for managing exuding wounds, not for small skin tears.
C. Moist, sterile gauze: While moist, sterile gauze can be used for wound dressings, it may adhere to the wound bed, causing further trauma during dressing changes.
D. Duoderm: Duoderm is a type of hydrocolloid dressing used for moderate to heavily exuding wounds, not for small skin tears.

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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?

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Naxlex Comprehensive Predictor Exams

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