NUR 3028 A Grade Exam with Questions & 100% Verified Solutions | 100% Passed
You want to record the amount of drainage from a wound. What would the appropriate documentation include and how would you accomplish this? A. Compare the weight of the exact same dry dressing to the saturated dressing. B. After weighing the dressings assume 1g of weight in drainage equals 1mL of volume in drainage. C. Document the amount of drainage in notes. D. All of the above. - D. All of the above. The nurse is performing routine wound dressing care and noticed purulent drainage. There is a standing order to culture any purulent wound drainage. What is the best method to collect the wound culture? - Clean the wound first by irrigating with normal saline, then collect the specimen. A physical finding that would indicate the patient is at an increased risk for wound dehiscence is: - Answer: Serosanguineous drainage along the incision line the sixth postoperative day. Rationale: This indicates that the incision's edges may not be intact and are vulnerable for dehiscence and evisceration. By the sixth postoperative day the exudate should be serous, not serosanguineous.
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