A nurse is caring for a client with cellulitis. Which statement by the nurse accurately describes the pathophysiology of cellulitis?
"Cellulitis occurs when the skin's protective barrier is compromised.".
"Cellulitis is primarily caused by a viral infection.".
"Cellulitis leads to increased blood clot formation.".
"Cellulitis results in excessive sweating in the affected area.".
The Correct Answer is A
Choice A rationale:
Cellulitis occurs when the skin's protective barrier is compromised.
Cellulitis is a bacterial skin infection that occurs when bacteria enter the skin through a break or opening in the protective barrier, such as a cut, wound, or insect bite.
The bacteria then multiply in the underlying tissues, leading to inflammation, redness, warmth, swelling, and pain.
Choice A is correct because it accurately describes the pathophysiology of cellulitis, emphasizing the importance of a compromised skin barrier in its development.
Choice B rationale:
Cellulitis is primarily caused by a viral infection.
This statement is incorrect.
Cellulitis is primarily caused by bacterial infections, commonly by Streptococcus and Staphylococcus species.
Viruses do not typically cause cellulitis.
Choice C rationale:
Cellulitis leads to increased blood clot formation.
This statement is incorrect.
Cellulitis does not lead to increased blood clot formation.
Instead, it causes inflammation and infection in the skin and underlying tissues.
Choice D rationale:
Cellulitis results in excessive sweating in the affected area.
This statement is incorrect.
Cellulitis does not result in excessive sweating.
It causes localized symptoms such as redness, warmth, swelling, and pain, but sweating is not a characteristic feature of cellulitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale:
Administering prescribed antibiotics is a crucial nursing intervention in managing cellulitis.
Antibiotics are the primary treatment for bacterial infections, and they are necessary to eradicate the infection.
Choice B rationale:
Teaching the patient proper wound care and hygiene is essential for managing cellulitis.
Proper wound care can help prevent the infection from worsening and promote healing.
Education on wound care is a vital aspect of nursing care for cellulitis.
Choice C rationale:
Advising the patient to apply cold compresses to the affected area is not typically recommended in the management of cellulitis.
Cold compresses may provide some relief for discomfort, but they are not a primary treatment for cellulitis.
Antibiotics and wound care are the mainstay of treatment.
Choice D rationale:
Advising the patient to limit fluid intake is not a standard nursing intervention for managing cellulitis.
In fact, it's important for patients with cellulitis to stay well-hydrated to support their overall health and immune function.
Choice E rationale:
Monitoring for signs of complications, such as fever or worsening symptoms, is a crucial nursing intervention in managing cellulitis.
Cellulitis can lead to serious complications if not promptly identified and treated.
Close monitoring allows for early intervention if complications arise.
Correct Answer is B
Explanation
Choice A rationale:
"Skin blisters and abscesses are signs of worsening infection, and we need to adjust your antibiotic therapy." This response is not entirely accurate.
While skin blisters and abscesses can indicate a more severe infection, the immediate response should focus on proper wound care, drainage if necessary, and evaluating the effectiveness of the current antibiotic therapy.
Adjusting antibiotic therapy may be considered later if the infection does not improve.
Choice B rationale:
"Skin blisters and abscesses are common in severe cases of skin infections and may require drainage or further treatment." This response is correct.
Skin blisters and abscesses can occur in severe skin infections, and they often require drainage, wound care, and potentially further medical intervention to address the underlying infection.
Choice C rationale:
"Skin blisters and abscesses are unrelated to your skin infection and may be a separate dermatological issue." This response is not accurate.
Skin blisters and abscesses in the context of a skin infection are likely related to the infection itself and should be managed accordingly.
Choice D rationale:
"Skin blisters and abscesses indicate an allergic reaction to the antibiotic; we will switch to a different medication." This response is not appropriate unless there is clear evidence of an allergic reaction to the antibiotic.
Skin blisters and abscesses are more commonly associated with the severity of the infection or the presence of pus collection, not necessarily an allergic reaction to the medication.
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