A 57-year-old female patient was admitted to the hospital with a left upper wound infection (methicillin-resistant Staphylococcus aureus [MRSA] and several gram-negative bacteria) and cellulitis 5 days ago.
Her wound is packed and requires a dressing change twice a day.
She is scheduled for discharge to home with her daughter to continue antibiotic therapy for another week.
What health teaching should the nurse include as part of the discharge instructions for the patient and her daughter?
Select all that apply.
Use a sterile technique when packing the wound and changing the dressing twice a day.
Stop taking the antibiotics when your arm feels better and is not reddened.
Notify your primary health care provider if your diarrhea gets worse.
Avoid strenuous activity and take frequent rest periods.
Correct Answer : A,C,D
Choice A rationale
Using a sterile technique when packing the wound and changing the dressing twice a day is crucial to prevent further infection.
Choice B rationale
It is important to complete the full course of antibiotics, even if symptoms improve, to ensure the infection is fully treated and to prevent antibiotic resistance.
Choice C rationale
Diarrhea can be a side effect of some antibiotics. If it gets worse, it could be a sign of an infection such as Clostridium difficile, which requires immediate medical attention.
Choice D rationale
Rest is important for recovery. Strenuous activity could delay healing and increase the risk of complications.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Insertion of a urinary catheter is a direct care intervention. It involves direct personal contact with the patient.
Choice B rationale
Reviewing discharge instructions with the client is also a direct care intervention. It involves direct personal contact with the patient.
Choice C rationale
Performing routine oral care is a direct care intervention. It involves direct personal contact with the patient.
Choice D rationale
Documentation of IV insertion is an example of an indirect care intervention. Indirect care interventions are performed when the nurse provides assistance in a setting other than with the patient. Examples of indirect care interventions are attending care conferences, documenting, and communicating about patient care with other providers.
Correct Answer is C
Explanation
Choice A rationale
Delegation refers to the process of assigning responsibility or authority to another person to carry out specific activities. It is not the process of developing a shared governance structure within nursing.
Choice B rationale
Distribution refers to the process of making a product or service available for the consumer or business user who needs it. It is not the process of developing a shared governance structure within nursing.
Choice C rationale
Decentralization is the process of distributing or dispersing functions, powers, people or things away from a central location or authority. In the context of nursing, it refers to the process of developing a shared governance structure within nursing.
Choice D rationale
Dissemination refers to the act of spreading something, especially information, widely. It is not the process of developing a shared governance structure within nursing.
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