Author Question: An elderly client with cellulitis of the upper left leg has been in the hospital for 10 days ... (Read 78 times)

crobinson2013 · **on:** Jul 22, 2018

An elderly client with cellulitis of the upper left leg has been in the hospital for 10 days receiving IV antibiotics. The infection is resolving and the nurse anticipates which of the following orders for this client?

1. Oral antibiotics to be continued at home
2. Home health care aide for the client
3. Low sodium diet prescribed
4. Orders for evaluation by physical therapy

Question 2

The nurse is teaching a client with cellulitis about ways to avoid future infections. The nurse determines that a learning outcome has been met when the client states which of the following?

1. I can stop taking the antibiotics when the swelling subsides..
2. I should not use antibiotic soap to cleanse the wounds..
3. I should eat a lot of rice to increase my intake of vitamin C..
4. I will stay away from hot tubs and whirlpools..

fwbard · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Orders for evaluation by physical therapy

Rationale:
Disuse syndrome can occur very quickly, especially in the older client whose muscles are diminishing. The nurse would expect the physician to have a physical therapist assess the client to maximize and rehabilitate the unused muscles. If the infection is resolving, there is no need for oral antibiotics at home. The client may or may not need a home health aide. A low sodium diet does not affect returning strength of the muscles.

Answer to Question 2

4. I will stay away from hot tubs and whirlpools..

Rationale:
Hot tubs, whirlpools, and swimming pools often contain the bacteria pseudomonas aeruginosa, which can lead to a cellulitis infection. Antibiotics are taken for the full course ordered. It is recommended that the client wash affected areas with an antibacterial soap. Vitamin C rich foods are citrus fruits and strawberries but not rice.