The nurse is cleansing a wound site. As the nurse administers the procedure, which intervention should be included?

Question

Quizplus · Accepted Answer

Cleanse in a direction from the least contaminated area, such as from the wound or incision, to the surrounding skin. While cleansing surgical or traumatic wounds by applying noncytotoxic solution with sterile gauze or by irrigations is correct, vigorous scrubbing is inappropriate and can cause damage to the skin. Use gentle friction when applying solutions to the skin, and allow irrigation to flow from the least to the most contaminated area.

The Nurse Is Cleansing a Wound Site