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a postoperative client with an open abdominal wound is currently taking corticosteroids. the physician orders a culture of the abdominal wound even though no signs or symptoms of infection are seen. what action by the nurse is appropriate?

Answer :

A postoperative client with an open abdominal wound is currently on corticosteroids. the doctor orders culture of the abdominal wound even if no signs or symptoms of infection are observed.

the appropriate action by the nurse is to obtain a culture specimen from the wound.by suppressing the body's normal inflammatory response, corticosteroids can mask the existence of an infection. Despite the fact that the patient does not show the usual signs and symptoms of the disease, the culture should still be taken. Infection could increase and the patient could develop sepsis if the order is stopped or held until purulent discharge is seen. An antibiotic cleanser should not be used prior to sample collection as this would affect the growth of the organisms.

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