When preparing to use a bottle of sterile saline for a dressing change, the nurse notes that the date it was opened was two days ago. What should the nurse do?

Pour out the top 10 mL of liquid and continue to utilize the bottle.

Obtain a new bottle of sterile saline.

Shake the bottle to ensure contents are mixed.

Switch to a bottle of sterile water.

Answer and Explanation

The Correct Answer is B

A. Pour out the top 10 mL of liquid and continue to utilize the bottle: Discarding a small portion of the solution does not ensure sterility after the bottle has been open for more than 24 hours. Continued use beyond the recommended time can increase the risk of contamination and infection.

B. Obtain a new bottle of sterile saline: Once a sterile saline bottle is opened, it is typically considered safe for use only within 24 hours. To maintain sterility and prevent infection, a new bottle should be used for the dressing change.

C. Shake the bottle to ensure contents are mixed: Shaking the bottle does not address sterility or contamination concerns. Sterile saline does not require mixing, and shaking it does not make it safe to use after the expiration of the safe usage window.

D. Switch to a bottle of sterile water: Sterile water is not an appropriate substitute for sterile saline in all clinical situations. The choice of solution should be based on wound care protocols, and switching without clinical justification is not appropriate.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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

Explanation

A. Laceration sealed with adhesive: This wound is healing by primary intention, where the wound edges are approximated and closed using sutures, staples, or adhesive. Healing is typically faster with minimal scarring and reduced risk of infection.

B. Skin tear on the forearm: A skin tear often involves partial loss of skin integrity and may not have edges that can be approximated. When left open to heal naturally, it undergoes secondary intention, which involves granulation tissue formation, contraction, and epithelialization.

C. Stapled hip incision: This wound is healing by primary intention because the edges have been brought together and secured using staples. There is minimal tissue loss and faster healing with less scarring compared to secondary intention.

D. Stage 4 pressure injury: A stage 4 pressure injury involves full-thickness tissue loss that often exposes muscle, tendon, or bone. Due to extensive tissue damage and inability to approximate wound edges, it heals by secondary intention through granulation and scar tissue formation.

E. Infected re-opened abdominal incision: If a surgical incision becomes infected and dehisces, it can no longer heal by primary intention. It must be managed as an open wound, healing by secondary intention, involving a longer healing process and greater risk of scarring.

A. Present the information in small segments B. Dim the lights in the client's room C. Provide reading material using blue-colored ink D. Avoid repeating information to the client

Correct Answer is A

Explanation

A. Present the information in small segments: Older adults often process information more effectively when it is delivered in manageable portions. Breaking content into smaller segments allows for better understanding and retention, especially when learning new material like medication instructions.

B. Dim the lights in the client’s room: Dim lighting can impair visibility, particularly for older adults who may already have age-related vision changes. Adequate lighting is essential for promoting alertness and supporting clear reading and communication.

C. Provide reading material using blue-colored ink: Blue ink can be difficult to read for individuals with visual impairments or age-related vision decline. High-contrast colors, such as black print on a white background, are generally easier for older adults to see.

D. Avoid repeating information to the client: Repetition reinforces learning and helps with memory retention, particularly in older adults who may experience mild cognitive changes. Avoiding repetition can lead to misunderstanding or noncompliance with instructions.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

When preparing to use a bottle of sterile saline for a dressing change, the nurse notes that the date it was opened was two days ago. What should the nurse do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A WOCN is reviewing the wound healing process with a group of nurses on a unit. The WOCN should include in the information which of the following alterations for wound healing by secondary intention? (Select all that apply)

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

Explanation

A nurse is teaching an older adult client about a new medication. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is teaching a client about how to administer a topical medication. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse using?

The nurse is performing an assessment on an older adult client and notices that the blood pressure has increased from 140/82 to 198/120 mm Hg. This is a significant difference in the client's baseline. Who is ultimately responsible for reporting this significant change to the health care provider?

When administering a medication, the nurse would identify which of the following clients at risk for toxic effects? (SELECT ALL THAT APPLY)

In the delivery of care the nurse acts in accordance with nursing standards and the code of ethics and reports a medication error that the nurse has made. The nurse is most clearly demonstrating which professional value?

Spironolactone is available in 75 mg tablets. The provider orders 150 mg PO daily. How many tablets should the nurse administer? (TYPE IN NUMBERS ONLY. Round to the nearest half. Use a leading zero if applicable. Do not use a trailing zero.)

A client weighs 165 lb. She has a medication prescribed with a maximum daily dosage of 60 mg/kg/day. What is the maximum number of milligrams this this client can receive/day? (TYPE NUMBERS ONLY: Round to nearest whole number, Use commas as appropriate.)

When working in a community health clinic, a nurse is focusing her teaching on health promotion. Which of the following topics would support this topic?