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

Explanation

A. Normal white blood cell count: In wound sepsis, the white blood cell count is typically elevated as part of the body's immune response to infection, not normal.
B. Fever and chills: Fever (hyperthermia) and chills are common signs of systemic infection, including wound sepsis. They indicate an inflammatory response and activation of the body's defense mechanisms.
C. Decreased pain at the wound site: Increased pain at the wound site is more commonly associated with wound infection, not decreased pain.
D. Redness and swelling: Redness (erythema) and swelling (edema) are local signs of inflammation and can be present in infected wounds, but they are not specific to wound sepsis and may occur in non-infected wounds as well.

A. When the patient will be resting for at least an hour B. In the evening before bed C. In the morning before the patient dresses D. After the patient bathes

Correct Answer is D

Explanation

A. When the patient will be resting for at least an hour: There is no specific requirement for the patient to rest after applying ointment to an inflamed skin rash.
B. In the evening before bed: While applying ointment before bed may be convenient for some patients, it may not be the best time for all patients, especially if the rash requires more frequent application.
C. In the morning before the patient dresses: Applying ointment in the morning may be appropriate, but it depends on the specific needs of the patient and the frequency of application recommended by the healthcare provider.
D. After the patient bathes: Applying ointment after the patient bathes can help ensure that the skin is clean and dry, maximizing the effectiveness of the ointment. Additionally, bathing can
help remove any debris or irritants from the skin, preparing it for the application of the ointment.

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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

Which of the following is a common sign of wound sepsis?

Correct Answer is B

Explanation

When is the best time for the nurse to apply prescribed ointment to a patient with an inflamed skin rash?

Correct Answer is D

Explanation

Which of the following infections would the nurse recognize as being a health care-associated infection?

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The nurse is caring for a client with a wound on their leg. During the nurse's assessment, the client explains that he is not feeling well. The nurse knows that a systemic response to a wound infection would be?

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