A nurse is assessing a client with cellulitis.
Select all the nursing interventions that are appropriate for managing cellulitis.
Elevate the affected limb.
Apply cold compresses to the area.
Administer antibiotics as prescribed.
Encourage the client to scratch the affected area.
Provide education on proper wound care.
Correct Answer : A,C,E
Choice A rationale:
Elevate the affected limb.
Elevating the affected limb is an appropriate nursing intervention for managing cellulitis.
It helps reduce swelling and promotes better circulation, which can aid in the healing process.
Choice B rationale:
Apply cold compresses to the area.
This is not an appropriate nursing intervention for cellulitis.
Cold compresses may provide relief for some types of skin conditions but are not recommended for cellulitis, as they can potentially worsen the condition.
Choice C rationale:
Administer antibiotics as prescribed.
Administering antibiotics is a crucial nursing intervention for managing cellulitis.
Cellulitis is typically treated with antibiotics to eliminate the underlying bacterial infection.
Choice D rationale:
Encourage the client to scratch the affected area.
This is not an appropriate nursing intervention.
Scratching can introduce more bacteria into the affected area, potentially worsening the infection.
Choice E rationale:
Provide education on proper wound care.
Educating the client on proper wound care is essential for managing cellulitis.
Teaching the client to keep the wound clean, dry, and covered can help prevent further infection and promote healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
"I have blisters all over the area." This statement does not indicate an understanding of the clinical presentation of cellulitis.
Blisters are not a typical symptom of cellulitis.
Cellulitis is characterized by redness, warmth, swelling, and pain, but blisters are more commonly associated with conditions like burns or herpes.
Choice B rationale:
"My skin feels cool to the touch." This statement is not indicative of an understanding of cellulitis.
In cellulitis, the affected area typically feels warm due to inflammation, not cool.
Choice C rationale:
"There is no change in the color of my skin." This statement suggests a lack of understanding of cellulitis.
One of the hallmark signs of cellulitis is a change in skin color, often appearing red or erythematous, in the affected area.
Choice D rationale:
"The area is red, swollen, and painful." This statement correctly indicates an understanding of the clinical presentation of cellulitis.
Cellulitis is characterized by these classic symptoms: redness, warmth, swelling, and pain.
Correct Answer is B
Explanation
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.
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