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    Ati lpn pharmacology fa25 proctored exam

    A nurse is caring for a client with a suspected wound infection. Before administering the prescribed antibiotic, the nurse obtains a wound culture. Which rationale best explains this nursing action?

    Explanation & Rationale

    A. To evaluate the client’s immune response to the infection: A wound culture does not measure the immune response. Laboratory tests like white blood cell count or antibody titers are used to assess immune function, not cultures. B. To confirm that the wound is infected before starting treatment: While a culture can provide evidence of infection, clinicians often start empiric antibiotics based on clinical signs. The primary purpose of the culture is to guide targeted therapy, not simply to confirm infection. C. To identify the microorganism causing the infection and determine the most effective antibiotic therapy: Obtaining a culture allows for identification of the specific pathogen and antibiotic sensitivity testing. This ensures that the prescribed antibiotic is appropriate and effective, reducing treatment failure and minimizing resistance. D. To prevent the development of antibiotic resistance in the hospital environment: While targeted antibiotic therapy helps reduce resistance, the main reason for performing a wound culture is to select the correct antibiotic, not solely to prevent resistance in the environment.

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