Question

The nurse is cleaning an open abdominal wound that has unapproximated edges. What are accurate steps in this procedure?

a.Use standard precautions or transmission-based precautions when indicated.
b.Moisten a sterile gauze pad or swab with the prescribed cleansing agent and squeeze out excess solution.
c.Clean the wound in full or half circles beginning on the outside and working toward the center.
d.Work outward from the incision in lines that are parallel to it from the dirty area to the clean area.
e.Clean to at least one inch beyond the end of the new dressing if one is being applied.
f.Clean to at least three inches beyond the wound if a new dressing is not being applied.

Answer 1

The accurate steps in cleaning an open abdominal wound with unapproximated edges are to use standard precautions, moisten a sterile gauze pad with the prescribed cleansing agent, clean the wound in circles from the outside to the center, and clean beyond the end of the dressing.

Step-by-step explanation:

The accurate steps in cleaning an open abdominal wound with unapproximated edges are as follows:

1. Use standard precautions or transmission-based precautions when indicated.
2. Moisten a sterile gauze pad or swab with the prescribed cleansing agent and squeeze out excess solution.
3. Clean the wound in full or half circles beginning on the outside and working toward the center.
4. Clean to at least one inch beyond the end of the new dressing if one is being applied.
5. Clean to at least three inches beyond the wound if a new dressing is not being applied.