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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Enlargement of the liver is not a common complication following a myocardial infarction that has caused damage to the right side of the heart.
Choice B rationale
Pulmonary congestion is more commonly associated with left-sided heart failure.
Choice C rationale
Cardiac Tamponade is a serious medical condition in which blood or fluids fill the space between the sac that encases the heart and the heart muscle. This can occur as a result of a myocardial infarction, but it is not the most likely complication in this scenario.
Choice D rationale
Peripheral edema is a common complication following a myocardial infarction that has caused damage to the right side of the heart. When the right side of the heart is damaged, it can lead to a backup of blood in the body’s veins, which can cause swelling in the ankles, legs, and abdomen.
Correct Answer is D
Explanation
Choice A rationale
Weight loss clinics are an example of active health promotion strategies. They require the individual to take an active role in changing behaviors or habits to improve their health.
Choice B rationale
Smoking cessation classes also fall under active health promotion strategies. These classes require the individual to actively participate and make a conscious effort to quit smoking.
Choice C rationale
Meditation courses are another example of active health promotion strategies. The individual must actively engage in learning and practicing meditation techniques to improve mental health.
Choice D rationale
The addition of folic acid to cereals is a passive health promotion strategy. Passive strategies are those in which individuals gain from the activities of others without acting themselves. The fortification of foods with essential nutrients is a common passive health promotion strategy.
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