Nurse Vincent is observing a newly hired nurse perform a dressing change on a client with a leg ulcer. Sutilains (Travase) is being used to treat the ulcer. Which observation by the RN would indicate an inaccurate action by the newly hired nurse when performing the dressing change?
a. The nurse cleans the wound with a sterile solution
b. The nurse places the sutilains in the refrigerator following use
c. The nurse dries the wound and covers the sutilains application with a dry sterile dressing
d. The nurse moistens the wound with sterile normal saline and then applies the sutilains
Answer C. The wound should be cleansed with a sterile solution before treatment.
The nurse then thoroughly moistens the wound with normal saline or sterile water, applies a thin film of sutilains extending ¼ to ½ inch beyond the area to be debrided, and then applies a loose thin dressing. The ointment should be refrigerated.
a. The nurse cleans the wound with a sterile solution
b. The nurse places the sutilains in the refrigerator following use
c. The nurse dries the wound and covers the sutilains application with a dry sterile dressing
d. The nurse moistens the wound with sterile normal saline and then applies the sutilains
Answer C. The wound should be cleansed with a sterile solution before treatment.
The nurse then thoroughly moistens the wound with normal saline or sterile water, applies a thin film of sutilains extending ¼ to ½ inch beyond the area to be debrided, and then applies a loose thin dressing. The ointment should be refrigerated.
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