The continuous quality improvement team is monitoring the nursing care

The continuous quality improvement team is monitoring the nursing care of clean-contaminated wounds. Which operative wound would be excluded from this study?

1. Gastric resection
2. Uncomplicated abdominal hysterectomy
3. Breast biopsy
4. Lung resection

ANSWER

Correct Answer: 3
Rationale 1: Clean-contaminated wounds are surgical wounds in which the respiratory, alimentary, genital, or urinary tract has been entered. These wounds show no evidence of infection. A gastric resection would be included in the study.
Rationale 2: Clean-contaminated wounds are surgical wounds in which the respiratory, alimentary, genital, or urinary tract has been entered. These wounds show no evidence of infection. An uncomplicated abdominal hysterectomy would be included in the study.
Rationale 3: A breast biopsy is considered a clean wound. Clean wounds are uninfected wounds in which there is minimal inflammation and the respiratory, gastrointestinal, genital, and urinary tracts are not entered. Clean wounds are primarily closed wounds.
Rationale 4: Clean-contaminated wounds are surgical wounds in which the respiratory, alimentary, genital, or urinary tract has been entered. These wounds show no evidence of infection. A lung resection would be included in the study.