A nurse is providing care to a patient with a skin infection. Which nursing interventions are appropriate for this patient? (Select all that apply.).

Choice A rationale:

Reduced pain and swelling are not typically associated with abscess formation in cellulitis.

Abscesses are often characterized by localized pain, swelling, and the presence of pus.

The development of an abscess can indicate a more severe infection.

Choice B rationale:

Spreading of the infection to deeper tissues or the bloodstream (sepsis) is a potential complication associated with cellulitis when abscess formation occurs.

If an abscess forms, bacteria can enter the bloodstream, leading to sepsis, a life-threatening condition.

Early recognition and treatment are essential to prevent sepsis.

Choice C rationale:

Improved wound healing is not a typical outcome when cellulitis leads to abscess formation.

Abscesses can impede wound healing and may require drainage and antibiotic treatment to resolve.

Choice D rationale:

Decreased redness and warmth at the site are not expected outcomes when an abscess forms in cellulitis.

Abscesses are often associated with increased redness and warmth due to inflammation and infection.

Choice A rationale:

Administering anticoagulant medication is not an appropriate nursing intervention for a patient with a skin infection.

Anticoagulants are used to prevent or treat blood clots and have no direct relevance to managing a skin infection.

Choice B rationale:

Elevating the affected limb is an appropriate nursing intervention for a patient with a skin infection.

Elevation can help reduce swelling and improve circulation to the affected area, which can aid in the healing process.

Choice C rationale:

Applying warm compresses is a suitable nursing intervention for a skin infection, as it can help promote blood flow to the affected area, alleviate pain, and potentially aid in the drainage of any abscesses or pus.

Choice D rationale:

Encouraging frequent ambulation may or may not be appropriate, depending on the severity and location of the skin infection.

While ambulation can be beneficial for preventing complications such as deep vein thrombosis (DVT) in some cases, it may not be suitable if the infection is in an area where movement exacerbates symptoms or if the patient's overall condition is too compromised.

Choice E rationale:

Administering NSAIDs (non-steroidal anti-inflammatory drugs) for pain relief is generally appropriate for a patient with a skin infection, as it can help manage pain and reduce inflammation.

However, it should be used in conjunction with other appropriate interventions like warm compresses and elevation.