A toddler has a deep laceration contaminated with dirt and sand. ...

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A toddler has a deep laceration contaminated with dirt and sand. Before closing the wound, the nurse should irrigate with what solution?
 
  a. Alcohol
  b. Normal saline
  c. Povidoneiodine
  d. Hydrogen peroxide

Question 2

Which client is most at risk for a uterine rupture?
 
  a. A gravida 4 who had a classic cesarean incision
  b. A gravida 5 who had two vaginal births and one cesarean birth
  c. A gravida 3 who has had two low-segment transverse cesarean births
  d. A gravida 2 who had a low-segment vertical incision for birth of a 10-lb infant

[Brummell1998]

Answer to Question 1

ANS: B
Normal saline is the only acceptable fluid for irrigation listed. The nurse should cleanse the wound with a forced stream of normal saline or water. Alcohol is not used for wound irrigation. Povidoneiodine is contraindicated for cleansing fresh, open wounds. Hydrogen peroxide can cause formation of subcutaneous gas when applied under pressure.

Answer to Question 2

ANS: A
The classic cesarean incision is made into the upper uterine segment. This part of the uterus contracts forcefully during labor, and an incision in this area may rupture in subsequent pregnancies. The client who had two vaginal deliveries and one cesarean is not a high-risk candidate. Low-segment transverse cesarean scars do not predispose her to uterine rupture. Low-segment incisions do not raise the risk of uterine ruptures.

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Thank you

[Brummell1998]

No problemo