The nurse is caring for a child who has cellulitis on the foot. Which is an appropriate nursing action? (Select all that apply)
Administer prescribed antibiotics
Monitor for spreading redness
Implement droplet precautions
Apply a topical antiviral cream.
Wash area with a pediculicide
Correct Answer : A,B
A. Cellulitis is a bacterial infection of the skin and subcutaneous tissue, most commonly caused by streptococci or staphylococci. The primary treatment is systemic antibiotics as prescribed by the provider. Administering antibiotics helps eliminate the infection, prevent complications such as abscess or sepsis, and promote healing.
B. Monitoring the site closely for spreading redness, swelling, or streaking up the limb is essential because worsening erythema may indicate progression of the infection, need for stronger antibiotics, or possible complications such as lymphangitis. Careful documentation and timely reporting to the provider are critical nursing responsibilities.
C. Droplet precautions are used for respiratory infections spread through droplets, such as influenza. Cellulitis is not transmitted this way; standard precautions are sufficient.
D. Topical antiviral creams are used for viral infections such as herpes simplex or varicella-zoster, not bacterial infections like cellulitis.
E. Pediculicides are used for lice infestations, not bacterial skin infections. Washing with these products would be ineffective and inappropriate for cellulitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This statement reflects anger, directed toward God, life, or the situation itself. In the anger phase of grief, clients often express frustration, blame, or resentment.
B. This reflects denial, as the client is refusing to accept the accuracy of the diagnosis.
C. This reflects bargaining, as the client is hoping that by making lifestyle changes, the illness can be reversed.
D. This reflects acceptance, as the client has made peace with the diagnosis and is preparing emotionally for death.
Correct Answer is C
Explanation
A. A family history of syncope is not a risk factor for acute glomerulonephritis.
B. Sexual activity is not a common contributing factor to glomerulonephritis.
C. Acute glomerulonephritis often develops 1–2 weeks after a streptococcal infection such as strep throat or impetigo. Asking about recent illness helps determine if a prior infection contributed to the condition.
D. Low blood pressure is not typically associated with glomerulonephritis; in fact, hypertension is more common due to fluid retention.
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