Author Question: A child steps on a nail and sustains a puncture wound of the foot. The most appropriate method for ... (Read 68 times)

sdfghj · **on:** Jun 28, 2018

A child steps on a nail and sustains a puncture wound of the foot. The most appropriate method for cleansing this wound is to:

a. Wash wound thoroughly with chlorhexidine.
b. Wash wound thoroughly with povidone-iodine.
c. Soak foot in warm water and soap.
d. Soak foot in solution of 50 hydrogen peroxide and 50 water.

Question 2

The clinic nurse is reviewing hemoglobin A1c levels on several children with type 1 diabetes. Hemoglobin A1c levels of less than _____ are a goal for children with type 1 diabetes. Record your answer as a whole number.

What will be an ideal response?

frejo · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Puncture wounds should be cleansed by soaking the foot in warm water and soap. Chlorhexidine, hydrogen peroxide, and povidone-iodine should not be used because they have a cytotoxic effect on healthy cells and minimal effect on controlling infection.

Answer to Question 2

ANS:
7

The measurement of glycosylated hemoglobin (hemoglobin A1c) levels is a satisfactory method for assessing control of type 1 diabetes. As red blood cells circulate in the bloodstream, glucose molecules gradually attach to the hemoglobin A molecules and remain there for the lifetime of the red blood cell, approximately 120 days. The attachment is not reversible; therefore, this glycosylated hemoglobin reflects the average blood glucose levels over the previous 2 to 3 months. The test is a satisfactory method for assessing control, detecting incorrect testing, monitoring the effectiveness of changes in treatment, defining patients' goals, and detecting nonadherence. Hemoglobin A1c levels of less than 7 are a well-established goal at most care centers.