How will a nurse irrigate a gaping abdominal incision with sterile saline by using a piston syringe?
A. Irrigate continuously until the solution becomes clear. B. After the irrigation, moisten the area around the wound with normal saline. C. After the irrigation, apply a wet-to-damp dressing to the wound. D. Rapidly instill a stream of irrigating solution into the wound.
When irrigating a gaping abdominal wound with a piston syringe, the nurse should irrigate the wound until the solution runs clear. This is a really good way to see that everything that could cause a problem - or almost everything could cause a problem - has been taken care of at that particular irrigation. This will also ensure that the nurse has done their job correctly.
This is usually done when trying to examine a wound or when the doctors believe that there could be debris or dangerous things stuck in a deep wound, where they can’t reach it. When a wound has deeper debris than what the doctors can see, irrigation can dislodge it. That said, pushing the syringe down too fast can cause more harm than good if the pressure gets too high.
Irrigate continuously until the solution becomes clear.-rationale: to wash away tissue debris and drainage effectively, the nurse should irrigate the wound until the solution becomes clear. after irrigation, the nurse should dry the area around the wound; moistening this area promotes microorganism growth and skin irritation. when the area is dry, the nurse should apply a dry, sterile dressing rather than a wet-to-damp dressing. the nurse should always instill the irrigating solution gently. rapid or forceful instillation can damage tissues.client needs category: physiological integrityclient needs subcategory: physiological adaptationcognitive level: applicationreference: taylor, c., et al. fundamentals of nursing: the art and science of nursing care, 6th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1237.