The nurse provides care for a client having an incisional biopsy of a skin lesion. Which teaching about the care of the site does the nurse provide to the client?
Keep the area open to air
Cleanse with hydrogen peroxide daily
Apply hydrocortisone cream to the area
Keep the suture area covered with gauze
The Correct Answer is D
After an incisional biopsy of a skin lesion, the client should be instructed to keep the suture area covered with gauze to protect it from irritation and infection. The area should be kept clean and dry, but cleansing with hydrogen peroxide is not necessary and may actually delay healing. The use of hydrocortisone cream is not recommended as it may interfere with wound healing. The area should not be left open to air as this may increase the risk of infection. The client should also be instructed to avoid strenuous activity and lifting heavy objects until the site has fully healed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Assault is an intentional act that causes another person to be in fear of immediate harm ¹. In this case, the caregiver's threat to restrain the uncle if he doesn't calm down can be considered an assault because it puts the uncle in fear of immediate harm.
The battery is defined as an intentional offensive or harmful touching of another person that is done without his or her consent ³. Malpractice refers to professional negligence by a healthcare provider that causes injury or harm to a patient. Negligence refers to a failure to exercise reasonable care that results in harm to another person. In this scenario, there is no evidence of batery, malpractice, or negligence.
Correct Answer is ["A","C","E","F","G","I"]
Explanation
a) It is important to wear sterile gloves when packing the wound to prevent the introduction of new bacteria into the wound.
c) Donning an eye shield protects the nurse from splash-back or aerosolized particles during irrigation.
e) Sterile normal saline should be used for irrigation to prevent introducing new bacteria to the wound. It should be poured into a sterile irrigation tray.
f) A wound culture should be obtained before the wound bed is irrigated to prevent diluting the specimen with irrigation solution.
g) After irrigating the wound and packing it with sterile gauze, the packing should be covered with an ABD pad to protect the wound and prevent contamination.
h) Assessing pain prior to starting the procedure is important to establish a baseline for pain management and to monitor the client's response to the procedure.
i) Sterile gloves should be worn when removing the old dressing to prevent introducing new bacteria to the wound.
b) Cleaning the skin around the wound with non-sterile gauze is not appropriate as it can introduce new bacteria to the wound.
d) Alcohol-based hand sanitizer is not a substitute for hand washing and should not be used between glove changes as it does not effectively remove all bacteria from the hands.
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