a provider has ordered a wound culture for a client with a non healing wound what is the nurses first action

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A provider has ordered a wound culture for a client with a non-healing wound. What is the nurse's first action?

A. Label the specimen tube
B. Put on non-sterile gloves
C. Gently remove the soiled dressings
D. Irrigate the wound

Correct answer: B

Rationale:

2. What is a negative effect of immobility on the cardiovascular system?

A. Increased high density lipoprotein
B. Increased circulation
C. Increased pumping action of the heart
D. Venous stasis

Correct answer: D

Rationale: Venous stasis is a negative effect of immobility on the cardiovascular system. Immobility can lead to blood pooling in the veins due to lack of movement, increasing the risk of blood clots. Choices A, B, and C are incorrect because immobility does not lead to an increase in high density lipoprotein, circulation, or the pumping action of the heart.

3. A nurse is providing oral hygiene for an unconscious client. What is the priority nursing intervention?

A. Position the client on one side with the head turned towards you
B. Handle dentures with care
C. Use gentle brushing and flossing techniques for clients with fragile mucosa
D. Have a suction apparatus ready at the bedside

Correct answer: A

Rationale:

4. Which of the following statements by a client with human immunodeficiency virus (HIV) does NOT requires further teaching?

A. I can spread this through contact with surfaces, so I need to wear gloves in public.'
B. Because I have HIV, that means I'm an AIDS patient'
C. I need to ensure that I place my needles in a proper needle disposal container.'
D. I can still have unprotected intercourse with my partner since he does not have HIV.'

Correct answer: C

Rationale: