Difficulty: Medium
Average Score: 71%
Simulated
A charge nurse is observing a staff nurse performing wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?
Correct answer
B
Rationale
The correct answer is B: Administers an analgesic medication 5 minutes before starting irrigation. Administering an analgesic medication before wound irrigation helps to manage the client's pain during the procedure, promoting comfort and compliance. This action indicates the staff nurse's understanding of the importance of pain management in wound care.
Rationale for why the other choices are incorrect:
A: Refrigerating the solution before irrigation is unnecessary and may cause discomfort to the client due to the cold temperature.
C: Using one pair of gloves for dressing removal and irrigation increases the risk of cross-contamination and infection.
D: Using a syringe with a catheter for wound irrigation is not the standard practice for pressure injury wound irrigation and may not provide effective cleansing of the wound.
Rationale for why the other choices are incorrect:
A: Refrigerating the solution before irrigation is unnecessary and may cause discomfort to the client due to the cold temperature.
C: Using one pair of gloves for dressing removal and irrigation increases the risk of cross-contamination and infection.
D: Using a syringe with a catheter for wound irrigation is not the standard practice for pressure injury wound irrigation and may not provide effective cleansing of the wound.