vSim - Harry Hadley 2022

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vSim - Harry Hadley A patient reports pain and swelling of a lower extremity. Assessment findings include warmth, erythema with indistinct margins, purulent drainage from the area, and oral temperature of 101.2 F (38.5 C). Which of the following laboratory tests should the nurse anticipate being ordered for the patient based on these signs and symptoms? (Select all that apply.) a) White cell count b) C-reactive protein c) Platelet count d) Electrolytes e) Wound culture - a) White cell count b) C-reactive protein e) Wound culture These signs and symptoms indicate possible infections (cellulitis). Diagnostic tests that confirm the diagnosis include white cell count, C-reactive protein, and wound culture. Electrolytes and platelet count will not confirm the presence of infection. A patient with a superficial wound is scheduled to have a culture of the wound. Which of the following directions best describes how to collect this culture? a) Insert clean swab deep in the wound and then place swab in an anaerobic culture tube. b) Cleanse the wound, swab surface, and then place swab in an anaerobic culture tube. c) Apply antiseptic to wound, swab surface, and then place swab in aerobic culture tube. d) Swab as much exudate as possible and then place swab in an aerobic culture tube. - d) Swab as much exudate as possible and then place swab in an aerobic culture tube. Aerobic organisms typically appear in superficial wounds. For an aerobic culture, express the wound and swab as much exudate as possible and then immediately place the swab in aerobic culture tube. Antiseptics may kill any bacteria and result in incorrect test results. Anaerobic organisms usually appear in areas of poor tissue perfusion such as deep wounds.

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