A nurse is assessing a patient with cellulitis. Select all nursing interventions that are appropriate for managing cellulitis.
Administering prescribed antibiotics.
Teaching the patient proper wound care and hygiene.
Encouraging the patient to apply cold compresses to the affected area.
Advising the patient to limit fluid intake.
Monitoring for signs of complications, such as fever or worsening symptoms.
Correct Answer : A,B,E
Choice A rationale:
Administering prescribed antibiotics is a crucial nursing intervention in managing cellulitis.
Antibiotics are the primary treatment for bacterial infections, and they are necessary to eradicate the infection.
Choice B rationale:
Teaching the patient proper wound care and hygiene is essential for managing cellulitis.
Proper wound care can help prevent the infection from worsening and promote healing.
Education on wound care is a vital aspect of nursing care for cellulitis.
Choice C rationale:
Advising the patient to apply cold compresses to the affected area is not typically recommended in the management of cellulitis.
Cold compresses may provide some relief for discomfort, but they are not a primary treatment for cellulitis.
Antibiotics and wound care are the mainstay of treatment.
Choice D rationale:
Advising the patient to limit fluid intake is not a standard nursing intervention for managing cellulitis.
In fact, it's important for patients with cellulitis to stay well-hydrated to support their overall health and immune function.
Choice E rationale:
Monitoring for signs of complications, such as fever or worsening symptoms, is a crucial nursing intervention in managing cellulitis.
Cellulitis can lead to serious complications if not promptly identified and treated.
Close monitoring allows for early intervention if complications arise.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A rationale:
"Fever and chills are common symptoms of skin infections and indicate your body's immune response." This response is correct.
Fever and chills are often seen in response to infections as the body's natural defense mechanism.
These symptoms indicate an elevated body temperature, which can help the body fight off the infection.
Choice B rationale:
"Fever and chills are unrelated to your skin infection; we will investigate the cause separately." This response is not accurate.
Fever and chills are typically associated with infections, including skin infections.
Dismissing their connection to the skin infection is not appropriate.
Choice C rationale:
"Fever and chills are side effects of the antibiotic therapy we prescribed." This response is misleading.
While some antibiotics may cause side effects like fever or allergic reactions, fever and chills are primarily the body's response to the infection itself, not side effects of antibiotic therapy.
Choice D rationale:
"Fever and chills are due to dehydration; make sure to drink more fluids." This response is incorrect.
While dehydration can lead to symptoms like weakness and dry mouth, it is not a common cause of fever and chills in the context of a skin infection.
Fever and chills are more likely related to the infection itself.
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