Author Question: A nurse is preparing to culture a client's wound to determine if it is infected. Which of these ... (Read 49 times)

anshika · **on:** Jul 22, 2018

A nurse is preparing to culture a client's wound to determine if it is infected. Which of these steps should the nurse take?

a. Irrigate the wound with antiseptic, swab over granulation tissue, and replace swab in culture tube.
b. Irrigate the wound with saline, swab over granulation tissue, and replace swab in culture tube.
c. Irrigate the wound with antiseptic, swab over eschar, and replace swab in culture tube.
d. Swab over granulation tissue, replace swab in culture tube, and redress the wound.

Question 2

When conducting a nursing assessment of the vascular system, the nurse is alert for the presence of Virchow's triad, which includes pooling of blood, a coagulation problem, and:

a. edema c. hypertension
b. shortness of breath d. vessel trauma

rnehls · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
When obtaining a wound culture, irrigate the wound with saline, swab over granulation tissue, and replace swab in culture tube. This decreases the collection of surface microorganisms that can provide a false reaction to the culture.

Answer to Question 2

D
Virchow's triad are the three factors leading to the formation of a clot and include the pooling of blood, a coagulation problem, and the presence of edema.