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. Dim vision could be a sign of many conditions but is not the first indicator the nurse should assess for neurologic status.
B. Papilledema (swelling of the optic disc) is a late sign of increased intracranial pressure and is not immediately available on assessment.
C. Body temperature is important but not as directly related to the neurological status as LOC.
D. The level of consciousness (LOC) is one of the most important initial indicators of a patient's neurologic status, as it helps assess brain function and the severity of potential neurological injury. A decrease in LOC can indicate significant brain injury or dysfunction.
Correct Answer is D
Explanation
A. Avoid friction over scaly lesions while bathing is generally good advice, but it is not the primary focus in this situation.
B. Eliminate the use of products containing salicylic acid is not necessary unless the client has a known sensitivity or reaction to it, as salicylic acid is commonly used to treat psoriasis.
C. Maintain occlusive dressings on the lesions throughout the day and remove them at bedtime is not typically recommended for psoriasis, as it can exacerbate the condition or increase irritation. Topical treatments, if prescribed, should be used as directed.
D. Psoriasis is often exacerbated by stress. Therefore, teaching the client effective stress reduction techniques (e.g., meditation, deep breathing, yoga) can help in managing flare-ups.
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