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ogilusin ogilusin
wrote...
Posts: 587
Rep: 3 0
6 years ago
A patient with an open leg wound has a white blood cell (WBC) count of 13, 500/L and a band count of 11. What action should the nurse take first?
 
  a. Obtain wound cultures.
  b. Start antibiotic therapy.
  c. Redress the wound with wet-to-dry dressings.
  d. Continue to monitor the wound for purulent drainage.

Question 2

The nurse assesses a patient's surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is most appropriate?
 
  a. Obtain wound cultures.
  b. Document the assessment.
  c. Notify the health care provider.
  d. Assess the wound every 2 hours.

Question 3

Which nursing activity can the nurse delegate to unlicensed assistive personnel (UAP) who are working in a family practice clinic?
 
  a. Make referrals to community substance abuse treatment centers.
  b. Teach patients about the use of prescribed nicotine replacement products.
  c. Administer and score the Alcohol Use Disorders Identification Test (AUDIT).
  d. Obtain patient histories regarding alcohol, tobacco, and other substance abuse.
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Replies
wrote...
6 years ago
The answer to question 1

ANS: A
The increase in WBC count with the increased bands (shift to the left) indicates that the patient probably has a bacterial infection, and the nurse should obtain wound cultures. Antibiotic therapy and/or dressing changes may be started, but cultures should be done first. The nurse will continue to monitor the wound, but additional actions are needed as well.

The answer to question 2

Beautifully done Thanks

The answer to question 3

ANS: C
No clinical judgment is needed to administer the AUDIT, which is a written questionnaire that is given to patients for self-administration and scored based on patient answers. Making appropriate referrals, patient teaching, and obtaining a patient history all require critical thinking and RN education and scope of practice.
ogilusin Author
wrote...
6 years ago
Great answers! <3
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