« previous next »

Author Question: A patient with an open leg wound has a white blood cell (WBC) count of 13, 500/L and a band count of ... (Read 91 times)

saliriagwu

  • Hero Member
  • *****
  • Posts: 537
on: Jun 25, 2018
A patient with an open leg wound has a white blood cell (WBC) count of 13, 500/L and a band count of 11. What action should the nurse take first?
 
  a. Obtain wound cultures.
  b. Start antibiotic therapy.
  c. Redress the wound with wet-to-dry dressings.
  d. Continue to monitor the wound for purulent drainage.

Question 2

The nurse assesses a patient's surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is most appropriate?
 
  a. Obtain wound cultures.
  b. Document the assessment.
  c. Notify the health care provider.
  d. Assess the wound every 2 hours.


epscape

  • Sr. Member
  • ****
  • Posts: 335
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
The increase in WBC count with the increased bands (shift to the left) indicates that the patient probably has a bacterial infection, and the nurse should obtain wound cultures. Antibiotic therapy and/or dressing changes may be started, but cultures should be done first. The nurse will continue to monitor the wound, but additional actions are needed as well.

Answer to Question 2

Beautifully done Thanks


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

Normal urine is sterile. It contains fluids, salts, and waste products. It is free of bacteria, viruses, and fungi.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

Your heart beats over 36 million times a year.

Did you know?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Microfilaments and Cell Movements Microfilaments and Cell Movements
Blood transfusion. Blood transfusion.
Biston betularia betularia morpha typica, the white-bodied peppered moth. Biston betularia betularia morpha typica, the white-bodied peppered moth.
Teaching patient discharge instructions Teaching patient discharge instructions
The Blood–Brain Barrier The Blood–Brain Barrier
Primary factors affecting blood pressure Primary factors affecting blood pressure
Video: Chemical Buffers - protein buffer, phosphate buffer system and bicarbonate buffer system

For a complete list of videos, visit our video library