Exhibits
Click to indicate which education instructions the nurse should include to prevent future cellulitis and promote healing when preparing the client for discharge. Each column must have at least one response selected.
Shower daily with antibacterial soap.
Complete full course of antibiotic therapy.
Refrain from sharing towels and razors with others.
Eat foods which contain protein and vitamin C.
Wash hands before and after touching open wounds including
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A,B"}}
Shower daily with antibacterial soap (Prevents Future Cellulitis): Keeping the skin clean reduces bacterial load and prevents infections.
Complete full course of antibiotic therapy (Prevents Future Cellulitis & Promotes Healing): Ensuring all bacteria are eradicated helps prevent recurrence and allows the infection to resolve fully.
Refrain from sharing towels and razors (Prevents Future Cellulitis): These items can spread bacteria, increasing the risk of reinfection.
Eat foods rich in protein and vitamin C (Promotes Healing): These nutrients aid in tissue repair and immune function, supporting recovery from cellulitis.
Wash hands before and after touching open wounds (Prevents Future Cellulitis & Promotes Healing): Proper hygiene prevents the spread of bacteria and reduces the risk of secondary infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","F","G"]
Explanation
Heart rate 88 beats/minute: This is within the normal range (60-100 bpm) and does not require immediate intervention.
Blood pressure 122/72 mm Hg: This is within a normal range and does not indicate an urgent issue.
Temperature 100.5°F (38°C): An elevated temperature suggests a possible infection, such as cellulitis or deep vein thrombosis (DVT), which requires further evaluation.
Reports of pain with ambulation: Pain with walking, especially in a client with peripheral vascular disease and diabetes, may indicate worsening circulation, infection, or DVT.
Respirations 20 breaths/minute: This is within the normal range (12-20 breaths/minute) and does not require immediate intervention.
Left lower leg with erythema, warm, and swollen: These are signs of inflammation or infection, such as cellulitis or a possible DVT, both of which require urgent medical attention.
Blood glucose 252 mg/dL (13.9 mmol/L): Elevated blood glucose can impair wound healing, increase the risk of infection, and contribute to further complications in a client with diabetes.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B","dropdown-group-3":"C"}
Explanation
Based on the client's history, physical, and laboratory findings, the priority need will be to treat the infection (cellulitis). In addition, the client will need interventions to manage complications, especially deep tissue injury and impaired circulation.
Rationale:
The infection (cellulitis) is the primary concern, as indicated by redness, warmth, swelling, and systemic symptoms like muscle aches. Immediate antibiotic therapy is crucial.
Deep tissue injury is a potential complication due to prolonged inflammation, swelling, and impaired circulation, which can lead to tissue damage.
Impaired circulation is a significant risk in a client with diabetes and peripheral vascular disease, as it can slow healing and increase the likelihood of further complications such as ulcers or necrosis.
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