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Author Question: A nurse on the postoperative nursing unit provides care to reduce the incidence of surgical wound ... (Read 84 times)

penza

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A nurse on the postoperative nursing unit provides care to reduce the incidence of surgical wound infection. What actions are best to achieve this goal? (Select all that apply.)
 
  a. Administering antibiotics for 72 hours
  b. Disposing of dressings properly
  c. Leaving draining wounds open to air
  d. Performing proper hand hygiene
  e. Removing and replacing wet dressings

Question 2

A postoperative client has the following orders:
 
  IV lactated Ringer's 125 mL/hr
  NG tube to low continuous suction
  Replace NG output every 4 hours with normal saline over 4 hours
  Morphine sulfate 2 mg IV push every hour as needed for pain
  NPO
  Up in chair tonight
  At 1600 (4:00 PM), the nurse measures the nasogastric (NG) output from noon to be 200 mL. What is the client's total IV rate for the next 4 hours? (Record your answer using a whole number.) _____ mL/hr



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6ana001

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Answer to Question 1

ANS: B, D, E
Interventions necessary to prevent surgical wound infection include proper disposal of soiled dressings, performing proper hand hygiene, and removing wet dressings as they can be a source of infection. Prophylactic antibiotics are given to clients at risk for infection, but are discontinued after 24 hours if no infection is apparent. Draining wounds should always be covered.

Answer to Question 2

ANS:
175 mL/hr
200 mL of NG output  4 hours = 50 mL/hr.
125 mL/hr + 50 mL/hr = 175 mL/hr.





 

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