The culture from the wound infection shows the organism: Bacterial Staphylococcal Aureus. Which of the following healthcare provider orders would the nurse anticipate?
supportive interventions as no antibiotic will work with this class of organisms
an antibiotic to which the organism is sensitive
wound irrigations with hypotonic solution to wash out the elevated electrolytes
apply cold to constrict the blood vessels in the wound site
The Correct Answer is B
A. Staphylococcus aureus is often susceptible to antibiotics, so supportive interventions without antibiotics would not be appropriate.
B. The most appropriate action for treating an infection caused by Staphylococcus aureus would be to administer an antibiotic to which the organism is sensitive.
C. While wound irrigation may be part of the treatment plan for wound infections, using a hypotonic solution to wash out elevated electrolytes is not specifically indicated for Staphylococcus aureus infections.
D. Applying cold to the wound site would not be the primary treatment for a wound infection caused by Staphylococcus aureus. Antibiotic therapy is necessary to address the bacterial infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"},"F":{"answers":"C"}}
Explanation
A. Placing the client on Contact Precautions is appropriate to prevent the transmission of MRSA to other patients and healthcare workers.
B. Applying a cold compress may worsen tissue damage and compromise blood flow, which can exacerbate the wound infection and cellulitis.
C. Elevating the client's arm can help reduce swelling and improve circulation, aiding in the resolution of cellulitis.
D. Taking a wound culture every shift is not necessary or useful, as it can be painful for the client and does not provide timely information on the infection status. A wound culture is usually done once before starting antibiotic therapy and then repeated only if there is no improvement or signs of worsening.
E. Initiating IV access for fluid and antibiotic therapy is necessary for treating the systemic infection caused by MRSA and cellulitis.
F. Subcutaneous sodium heparin is an anticoagulant that prevents blood clots, but it is not indicated for this client unless they have a history or risk of thromboembolic events, such as deep vein thrombosis or pulmonary embolism.
Correct Answer is C
Explanation
A. While pain is a common symptom associated with inflammation, providing a feedback mechanism for pain identification is not the ultimate purpose of the inflammatory process.
B. The inflammatory process is not primarily aimed at increasing fatty deposits in affected tissue.
C. The ultimate purpose of the inflammatory process is to localize, destroy, and remove injurious agents such as pathogens and damaged cells, thereby preparing the wound for healing.
D. Releasing antigens into the general circulation is not the primary purpose of the inflammatory process.
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