The nurse is changing a surgical dressing and is cleansing the ...

[sammy]

The nurse is changing a surgical dressing and is cleansing the wound. She knows that:
 
  a. the incision line should be cleansed last.
  b. she should start at one end of the incision line and swab the entire length.
  c. she should start at the center of the incision line and swab toward one end.
  d. she should work in a circular motion around the incision line.

Question 2

To evaluate the circulation to a client's foot, the pulse a nurse assesses is the:
 
  A. Carotid
  B. Brachial
  C. Femoral
  D. Posterior tibial

[Yixagurpuldink]

Answer to Question 1

C
The center is the most important part of the suture line; therefore, using a sterile swab or gauze, clean the suture line by starting at the center of the suture line and working toward one end. With another sterile swab or gauze, start at the center of the incision and work toward the other end. All other cleansing involves moving from one end to the other on each side of the incision. Work in straight lines, moving away from the suture line with each successive stroke.

Answer to Question 2

D
D. Site used to assess status of circulation to the foot
A. Easily accessible site to assess character of peripheral pulse; used during physiological shock or cardiac arrest when other sites are not palpable
B. Site used to auscultate upper extremity blood pressure; assesses status of circulation to lower arm
C. Site used to assess character of pulse during physiological shock or cardiac arrest when other pulses are not palpable; assesses status of circulation to the leg

[sammy]

Thanks

[Yixagurpuldink]

Welcome