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A nurse is providing care to a patient with a skin infection. Which nursing interventions are appropriate for this patient? (Select all that apply.).

Administering anticoagulant medication.

Elevating the affected limb.

Applying warm compresses.

Encouraging frequent ambulation.

Administering NSAIDs for pain relief.

Answer and Explanation

Correct Answer : B,C

Choice A rationale:

Administering anticoagulant medication is not an appropriate nursing intervention for a patient with a skin infection.

Anticoagulants are used to prevent or treat blood clots and have no direct relevance to managing a skin infection.

Choice B rationale:

Elevating the affected limb is an appropriate nursing intervention for a patient with a skin infection.

Elevation can help reduce swelling and improve circulation to the affected area, which can aid in the healing process.

Choice C rationale:

Applying warm compresses is a suitable nursing intervention for a skin infection, as it can help promote blood flow to the affected area, alleviate pain, and potentially aid in the drainage of any abscesses or pus.

Choice D rationale:

Encouraging frequent ambulation may or may not be appropriate, depending on the severity and location of the skin infection.

While ambulation can be beneficial for preventing complications such as deep vein thrombosis (DVT) in some cases, it may not be suitable if the infection is in an area where movement exacerbates symptoms or if the patient's overall condition is too compromised.

Choice E rationale:

Administering NSAIDs (non-steroidal anti-inflammatory drugs) for pain relief is generally appropriate for a patient with a skin infection, as it can help manage pain and reduce inflammation.

However, it should be used in conjunction with other appropriate interventions like warm compresses and elevation.

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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.

A. "Cellulitis occurs when the skin's protective barrier is compromised.". B. "Cellulitis is primarily caused by a viral infection.". C. "Cellulitis leads to increased blood clot formation.". D. "Cellulitis results in excessive sweating in the affected area.".

Correct Answer is A

Explanation

Choice A rationale:

Cellulitis occurs when the skin's protective barrier is compromised.

Cellulitis is a bacterial skin infection that occurs when bacteria enter the skin through a break or opening in the protective barrier, such as a cut, wound, or insect bite.

The bacteria then multiply in the underlying tissues, leading to inflammation, redness, warmth, swelling, and pain.

Choice A is correct because it accurately describes the pathophysiology of cellulitis, emphasizing the importance of a compromised skin barrier in its development.

Choice B rationale:

Cellulitis is primarily caused by a viral infection.

This statement is incorrect.

Cellulitis is primarily caused by bacterial infections, commonly by Streptococcus and Staphylococcus species.

Viruses do not typically cause cellulitis.

Choice C rationale:

Cellulitis leads to increased blood clot formation.

This statement is incorrect.

Cellulitis does not lead to increased blood clot formation.

Instead, it causes inflammation and infection in the skin and underlying tissues.

Choice D rationale:

Cellulitis results in excessive sweating in the affected area.

This statement is incorrect.

Cellulitis does not result in excessive sweating.

It causes localized symptoms such as redness, warmth, swelling, and pain, but sweating is not a characteristic feature of cellulitis.

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A nurse is providing care to a patient with a skin infection. Which nursing interventions are appropriate for this patient? (Select all that apply.).

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Naxlex Comprehensive Predictor Exams

A nurse is discussing preventive measures for cellulitis with a client. Which statement by the nurse is accurate regarding preventing cellulitis?

Correct Answer is D

Explanation

A nurse is caring for a client with cellulitis. Which statement by the nurse accurately describes the pathophysiology of cellulitis?

Correct Answer is A

Explanation

A client with a skin infection has developed skin blisters and abscesses at the site. The client is concerned about these skin changes. What information should the nurse provide to the client regarding these skin manifestations?

A nurse is conducting an assessment of a patient with a skin infection. Which assessment findings should the nurse prioritize when planning care for this patient?

A nurse is providing care to a patient with a skin infection. Which nursing interventions are appropriate for this patient? (Select all that apply.).

A client with cellulitis asks the nurse about the importance of completing the full course of antibiotics. What should the nurse respond?

A nurse is discussing preventive measures with a patient at risk of cellulitis. What advice should the nurse provide to the patient?

A nurse is assessing a client with cellulitis. Select all the nursing interventions that are appropriate for managing cellulitis.

A nurse is assessing a patient with localized redness, warmth, and swelling in the lower limb. The patient reports pain and tenderness at the affected site. Which nursing intervention is appropriate for this patient?

A nurse is assessing a patient with cellulitis. Select all nursing interventions that are appropriate for managing cellulitis.