The nurse will include which intervention for the patient newly admitted with cellulitis of the right foot?
Encourage frequent ambulation
Maintain foot in a dependent position.
Apply warm, moist heat
Wrap the foot snugly in the blanket
The Correct Answer is C
A. Ambulation may worsen the condition as it could increase swelling or spread infection.
B. This may increase swelling and should generally be avoided in cellulitis.
C. This helps to improve circulation and reduce swelling in cellulitis.
D. Wrapping the foot tightly could exacerbate swelling and discomfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Difficulty moving the upper extremities may occur in some stroke patients but is not a direct complication of immobility.
B. Stiffness in the lower extremities could be a result of immobility, but pressure ulcers are a higher immediate concern.
C. Difficulty hearing some types of sounds is unrelated to immobility.
D. Immobility increases the risk of pressure ulcers, especially over bony prominences like the sacrum. A reddened area indicates potential early tissue damage due to prolonged pressure.
Correct Answer is B
Explanation
A. Using child-like statements may be demeaning and does not support effective communication. It is
important to speak at the client’s level and provide respect.
B. Incorporating nonverbal cues, such as gestures, facial expressions, and pictures, can help facilitate understanding and communication with a person who has aphasia.
C. Using a higher-pitched tone of voice does not aid comprehension and may be perceived as patronizing.
D. Asking multiple-choice questions is helpful, but it is not the most general approach. Using clear, simple language with nonverbal cues is more beneficial.
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