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
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 B
Explanation
Choice A rationale
Interpersonal relationships are not the focus of Nola Pender’s nursing model. While interpersonal relationships can influence health behaviors, they are not the primary focus of Pender’s model21.
Choice B rationale
Health promotion is the focus of Nola Pender’s nursing model. The model emphasizes the role of individual behavior and lifestyle choices in determining health outcomes, and it recognizes the influence of social and environmental factors on health21.
Choice C rationale
While caring is an important aspect of nursing, it is not the primary focus of Nola Pender’s nursing model. Pender’s model is more focused on promoting healthy behaviors and lifestyle choices21.
Choice D rationale
Adaptation is not the focus of Nola Pender’s nursing model. Pender’s model is more focused on promoting healthy behaviors and lifestyle choices21.
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