Question

The nurse obtained an aerobic wound culture. Which of the following is the most accurate documentation of the procedure? A)1920 Patient premedicated for pain with one tablet Percocet. Wound of right heel 4 cm in diameter by 2 cm depth, edges reddened. Yellow purulent drainage noted. Old exudate removed with antiseptic swab. Aerobic culture obtained from wound bed and sent to lab; will notify health care provider of results when available. Patient states area is tender when touched, otherwise pain is a "2" on 0-to-10 pain scale. Patient remains afebrile. Wound cleansed with normal saline, loosely packed with 4-by-4 moistened with normal saline and covered with dry 4-by-4. Held in place with stockinet. B)1705 Patient states pain is "2" on 0-to-10 pain scale; refuses pain medication at this time. Temperature 99.5 °F; health care provider notified. Orders received to obtain aerobic wound culture. Dressing of right heel changed according to health care provider's orders. Aerobic culture obtained from site of drainage and sent to lab. Patient repositioned for comfort. Call light within reach.

C)2010 Patient complaining of wound pain. States is a constant ache, occasionally feels like it is "burning." States pain is a "6" on 0-to-10 pain scale. Percocet 1 tab given PO per request. Dressing removed from wound. Purulent yellow drainage noted on dressing and in wound bed. Area cleaned and sterile gloves applied; aerobic culture obtained; sent immediately to lab. Wound packed with sterile 4-by-4 moistened with normal saline and covered with dry 4-by-4 gauze. Paper tape applied. Patient repositioned for comfort. States pain is now a "5" on 0-to-10 pain scale and that wound feels better after dressing is changed.
D) 1930 Clean gloves applied. Dressing removed and discarded from patient's left heel. No foul odor noted. Aerobic wound culture obtained per order. New dressing applied using sterile technique. Patient tolerated well. Call light in reach.

Answer 1

Option A provides the most accurate and detailed documentation of the procedure to obtain an aerobic wound culture, including all relevant steps and patient responses.

Step-by-step explanation:

The most accurate documentation of the procedure to obtain an aerobic wound culture is option A. This option details the premedication for pain, the condition and size of the wound, the appearance of the drainage, the cleaning and dressing process, the communication with the healthcare provider, and the patient's response to the procedure.

Proper documentation is critical in healthcare settings as it ensures continuity of care, facilitates communication among healthcare providers, and adheres to medical legal requirements. This option includes all the necessary details of the procedure, such as the size and depth of the wound, the appearance of the wound and drainage, the use of antiseptic swabs, the collection of the culture from the wound bed, and the notification of the healthcare provider of the results. It also mentions the patient's level of pain and the steps taken to manage it.