The nurse is irrigating a wound with tracts and crevices, and ...

[bobthebuilder]

The nurse is irrigating a wound with tracts and crevices, and applies which piece of equipment to the syringe in order to irrigate these areas?
 
  1. A 22 gauge needle
  2. A small gauge Robinson catheter
  3. An IV catheter with the needle removed
  4. An IV catheter with the needle in place

Question 2

The nurse changes the client's IV dressing and removes the existing transparent wound barrier. Prior to applying the new barrier, which action by the nurse is the most appropriate?
 
  1. Applying benzoin to make the dressing stick firmly
  2. Placing a sterile piece of gauze over the insertion site before placing a new transparent barrier over the wound
  3. Cleansing the site with normal saline or a mild cleansing agent
  4. Applying sterile gloves

[manuelcastillo]

Answer to Question 1

Correct Answer: 3

The safest means of irrigating the wound without causing further tissue trauma would be with the use of an IV catheter, which can reach into tracts without causing further tissue damage. A needle would be painful and inappropriate. A Robinson catheter would not be small enough.

Answer to Question 2

Correct Answer: 3

The nurse should clean the site with normal saline or a mild cleansing agent to reduce pathogen exposure into the wound. It is not necessary to wear sterile gloves, because the nurse should not touch the insertion site directly, and does not touch the sterile dressing. Clean gloves should be worn to protect the nurse. Benzoin is not needed, but the dressing can be window-paned with tape if needed. Placing a piece of gauze over the insertion site defeats the purpose of the transparent dressing and makes it impossible to see the site to monitor for changes, so it is contraindicated.

[bobthebuilder]

Thank you

[manuelcastillo]

Happy to help you