A nurse on the medical-surgical unit is planning care for a male client after reviewing their electronic health record (EHR).
Which of the following provider prescriptions should the nurse anticipate receiving to implement in the client's plan of care?
Select 3 provider prescriptions.
Encourage client to consume foods with zinc.
Apply ice pack to left foot for 30 min/hr.
Administer an oral antiviral medication.
Obtain a culture of the client's wound.
Administer tetanus toxoid injection.
Apply transparent dressing over the client's wound.
Place client in airborne precautions.
Correct Answer : A,D,E
A. Encourage client to consume foods with zinc: Zinc plays an important role in wound healing and immune function. Since this client has diabetes and an infected wound, zinc-rich foods can support tissue repair and recovery, making this prescription appropriate.
B. Apply ice pack to left foot for 30 min/hr: Ice is not appropriate for an infected wound because it can impair circulation and slow healing. Instead, treatment should focus on infection management, wound care, and improving blood flow.
C. Administer an oral antiviral medication: The client’s presentation is consistent with a bacterial infection, not a viral process. Purulent drainage, fever, and wound infection require antibacterial therapy, not antiviral medications.
D. Obtain a culture of the client's wound: Wound culture is necessary to identify the causative organism and guide antibiotic therapy. This is an important step in managing diabetic foot infections, which often involve resistant bacteria.
E. Administer tetanus toxoid injection: Since the wound occurred after stepping on glass or metal, there is a risk of tetanus exposure. Administering a tetanus booster is recommended if vaccination is not up to date or uncertain.
F. Apply transparent dressing over the client's wound: Transparent dressings are not suitable for infected wounds with drainage because they can trap moisture and bacteria. Instead, absorbent dressings should be used to promote healing.
G. Place client in airborne precautions: Airborne precautions are for illnesses such as tuberculosis or measles. A foot wound infection does not spread via airborne transmission, so this is unnecessary.
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Related Questions
Correct Answer is C
Explanation
A. "I think you should call your friends to comfort you.": This deflects the client’s feelings and shifts responsibility to others, rather than addressing the client’s immediate emotional needs.
B. "Things are not as bad as they seem right now.": This minimizes the client’s fear and invalidates their feelings, which can prevent open communication about their concerns.
C. "It must be a very difficult time for you.": This is a therapeutic, empathetic response that acknowledges the client’s emotions and encourages them to share their fears in a supportive manner.
D. "Why are you afraid that you are going to die?": Asking "why" can sound judgmental or probing, which may make the client defensive instead of fostering trust and open discussion.
Correct Answer is B
Explanation
A. "Place guns in a locked glass cabinet.": A glass cabinet, even if locked, does not provide adequate security because glass can be broken easily. This storage method increases the risk of children or unauthorized individuals accessing the firearm.
B. "Keep ammunition and guns in separate, locked locations.": Storing firearms and ammunition separately and in locked containers minimizes the risk of accidental shootings by ensuring that even if one is accessed, the other remains secured, thereby preventing immediate use.
C. "Remove ammunition from the firearm and place it on a table before cleaning.": Although removing ammunition is necessary before cleaning, leaving it out in the open still poses a risk. Safe practices require storing ammunition in a secure, locked area rather than accessible.
D. "Plan to have the firearm inspected by a gunsmith every 5 years.": While firearm inspections may be useful for maintenance, they do not directly reduce the risk of injury in the home. Safety measures focus more on secure storage and limiting access to firearms and ammunition.
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