A client with cellulitis experiences abscess formation. What is a potential complication associated with this condition?
Reduced pain and swelling.
Spreading of the infection to deeper tissues or bloodstream (sepsis).
Improved wound healing.
Decreased redness and warmth at the site.
The Correct Answer is B
Choice A rationale:
Reduced pain and swelling are not typically associated with abscess formation in cellulitis.
Abscesses are often characterized by localized pain, swelling, and the presence of pus.
The development of an abscess can indicate a more severe infection.
Choice B rationale:
Spreading of the infection to deeper tissues or the bloodstream (sepsis) is a potential complication associated with cellulitis when abscess formation occurs.
If an abscess forms, bacteria can enter the bloodstream, leading to sepsis, a life-threatening condition.
Early recognition and treatment are essential to prevent sepsis.
Choice C rationale:
Improved wound healing is not a typical outcome when cellulitis leads to abscess formation.
Abscesses can impede wound healing and may require drainage and antibiotic treatment to resolve.
Choice D rationale:
Decreased redness and warmth at the site are not expected outcomes when an abscess forms in cellulitis.
Abscesses are often associated with increased redness and warmth due to inflammation and infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Administering anticoagulant medication is not appropriate for a patient with localized redness, warmth, swelling, pain, and tenderness in the lower limb.
These symptoms suggest a potential inflammatory or infectious process, not a blood clot.
Anticoagulants are used to prevent or treat blood clots, and there is no indication for their use based on the presented symptoms.
Choice B rationale:
Applying cold compresses to the affected area is an appropriate nursing intervention for a patient with localized redness, warmth, swelling, pain, and tenderness.
These symptoms are indicative of inflammation or infection, and cold compresses can help reduce inflammation, relieve pain, and provide comfort to the patient.
Choice C rationale:
Encouraging the patient to ambulate frequently may not be appropriate at this stage.
Ambulation is generally encouraged to prevent complications such as deep vein thrombosis (DVT) in hospitalized patients.
However, in the presence of localized redness, warmth, swelling, pain, and tenderness, it is essential to identify the underlying cause and provide appropriate treatment and rest before promoting ambulation.
Choice D rationale:
Administering acetaminophen for pain relief is a reasonable option, but it addresses only the symptom (pain) and not the underlying cause of the patient's condition.
While pain management is important for patient comfort, it should be combined with interventions that directly address the inflammation or infection responsible for the symptoms.
Therefore, choice B (cold compresses) is a more appropriate initial intervention.
Correct Answer is D
Explanation
Choice A rationale:
"Avoiding handwashing is an effective preventive measure." This statement is incorrect.
Handwashing is a fundamental practice for preventing infections, including cellulitis.
Avoiding handwashing can increase the risk of introducing bacteria into the skin through cuts or wounds.
Choice B rationale:
"Keep your skin well-moisturized to prevent cellulitis." This statement is not accurate.
While maintaining skin hydration is essential for overall skin health, it is not a direct preventive measure for cellulitis.
Preventing cuts and wounds, as well as proper wound care, are more relevant preventive strategies.
Choice C rationale:
"Getting vaccinated against cellulitis is unnecessary." There is no vaccine available specifically for cellulitis.
This statement is accurate.
Cellulitis is primarily caused by bacterial infections, and vaccination against specific bacterial pathogens (e.g., Streptococcus or Staphylococcus) may indirectly reduce the risk of cellulitis by preventing related infections, but there is no direct vaccine for cellulitis.
Choice D rationale:
"Clean and properly care for any breaks in your skin to reduce the risk of cellulitis." This statement is accurate and emphasizes an essential preventive measure for cellulitis.
Keeping the skin clean, promptly treating any cuts or wounds, and practicing proper wound care can reduce the risk of cellulitis by preventing bacterial entry and infection.
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