A 57-year-old female patient was admitted to the hospital with a left upper wound infection (methicillin-resistant Staphylococcus aureus [MRSA] and several gram-negative bacteria) and cellulitis 5 days ago.
Her wound is packed and requires a dressing change twice a day.
She is scheduled for discharge to home with her daughter to continue antibiotic therapy for another week.
What health teaching should the nurse include as part of the discharge instructions for the patient and her daughter?
Select all that apply.
Use a sterile technique when packing the wound and changing the dressing twice a day.
Stop taking the antibiotics when your arm feels better and is not reddened.
Notify your primary health care provider if your diarrhea gets worse.
Avoid strenuous activity and take frequent rest periods.
Correct Answer : A,C,D
Choice A rationale
Using a sterile technique when packing the wound and changing the dressing twice a day is crucial to prevent further infection.
Choice B rationale
It is important to complete the full course of antibiotics, even if symptoms improve, to ensure the infection is fully treated and to prevent antibiotic resistance.
Choice C rationale
Diarrhea can be a side effect of some antibiotics. If it gets worse, it could be a sign of an infection such as Clostridium difficile, which requires immediate medical attention.
Choice D rationale
Rest is important for recovery. Strenuous activity could delay healing and increase the risk of complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Administering a nebulizer treatment would be more appropriate for respiratory conditions such as asthma or COPD, not for angina pectoris.
Choice B rationale
Obtaining an EKG reading is the most appropriate initial action when a patient reports a new onset of angina pectoris. An EKG can help determine if the patient is experiencing a myocardial infarction (heart attack), which is a life-threatening condition.
Choice C rationale
While reviewing the patient’s surgical history is important in a comprehensive assessment, it is not the most immediate action needed when a patient presents with angina.
Choice D rationale
Recording the patient’s weight is not the most immediate action needed when a patient presents with angina.
Correct Answer is A
Explanation
Choice A rationale
The apical pulse is located at the fifth intercostal space at the left midclavicular line.
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