Author Question: After irrigating a client's wound, a nurse notes that retained fluid and debris appear. The nurse ... (Read 53 times)

natalie2426 · **on:** Jul 24, 2018

After irrigating a client's wound, a nurse notes that retained fluid and debris appear. The nurse should:

A. Apply suction to the wound
B. Notify the physician immediately
C. Increase the amount of irrigant used
D. Decrease the amount of pressure used to irrigate

Question 2

While the patient is in the OR and the OR team is gowned and gloved, the nurse recommends completion of a safety checklist. The nurse understands that the checklist verifies which of the following? (Select all that apply.)

a. Patient identity
b. Patient allergies
c. Accurate marking of surgical site
d. Patient cultural preferences
e. Questions posed by the patient

mcarey591 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
A, B, C, and D. If retained fluid and debris appear, increase amount of fluid used during irrigation, increase amount of pressure when flushing wound, and make sure wound is clear of retained fluid and debris before applying dressing.

Answer to Question 2

A, B, C
While the patient is in the OR and the OR team is gowned and gloved, it is recommended that a surgical safety checklist or the World Health Organization (WHO) checklist be conducted. The WHO checklist verifies the patient's identity, ascertains whether the patient has any allergies, checks if the surgical site is marked and reverifies the site marking, and asks the patient if he or she has any questions.