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concept of nursing 1
specimen collection Lesson 5
| Question | Answer |
|---|---|
| The health care provider has written the following orders: 0.45% NaCl at 50 mL/hr, C & S (culture & sensitivity) of wound, Levofloxacin (an antibiotic) 500 mg IV q 24 h, Diet as tolerated. | -- |
| Which health care provider’s order should receive highest priority? | C & S of wound |
| The patient looks apprehensively at the nurse who is going to obtain a wound culture. The patient asks, “Why do you have a needle?” What is the best response by the nurse? | “I will use a syringe without a needle to obtain some drainage from your wound. The needle will only be attached to inject the drainage into a special tube for culture.” |
| During change-of-shift report, the nurse is informed a wound culture needs to be obtained from one of the patients. Which of the following actions made by the nurse would be inaccurate and requires correction? | Delegating the procedure to nursing assistive personnel. |
| A diabetic patient has a surgical incision that is not healing properly. The nurse notes purulent yellow drainage coming from an area of the incision that is poorly approximated. | -- |
| What type of wound culture would the nurse expect the health care provider to order? | Aerobic culture |
| The nurse has informed the patient a wound culture is going to be obtained. The patient asks why the nurse cleans the wound before swabbing it, stating “Won’t that keep any infection from showing up on the test?” | -- |
| Which response by the nurse indicates the correct rationale for cleaning the wound prior to obtaining the culture? | "Removing skin flora prevents possible contamination of the specimen." |
| The nurse obtained an aerobic wound culture. Which of the following is the most accurate documentation of the procedure? | 1920 Patient premedicated for pain with one tablet Oxycodone. Wound of right heel 4 cm in diameter by 2 cm depth, edges reddened. Yellow purulent drainage noted. Old exudate removed with antiseptic swab. |
| -- | Aerobic culture obtained from wound bed and sent to lab; will notify health care provider of results when available. Patient states area is tender when touched, otherwise pain is a "2" on 0-to-10 pain scale. Patient remains afebrile. |
| -- | Wound cleansed with normal saline, loosely packed with 4-by-4 moistened with normal saline and covered with dry 4-by-4. Held in place with stockinet. |
| Which of the following are indications of a localized wound infection? | -Warmth at wound site -Pain or tenderness at wound site -Purulent drainage |
| A nurse is preparing to obtain an anaerobic wound culture. What supplies will the nurse require to carry out the procedure? | -Culture tube that contains carbon dioxide or nitrogen gas -5- to 10-mL syringe and 19-gauge needle -Lab requisition, identification label, and biohazard bag -Clean gloves -Sterile gloves -Sterile dressing materials |
Created by:
Lightnning54
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