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A 7-Year-Old Client Receives a Scalp Laceration to the Back

Question 165

Multiple Choice

A 7-year-old client receives a scalp laceration to the back of the head while on a playground, and the new nurse prepares to irrigate the wound.  Which actions by the new nurse would require the experienced nurse to intervene?  Select all that apply.


A) Administers the prescribed analgesic 30 minutes before irrigating the wound
B) Cleanses the wound from the most to the least contaminated area
C) Obtains a 10-mL syringe and a 27-gauge needle
D) Reviews the child's most recent immunization record
E) Uses continuous pressure to irrigate and repeats until drainage is clear

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