Author Question: The nurse working in an emergency outpatient clinic admits a diabetic client with an irregularly ... (Read 128 times)

Tirant22 · **on:** Jul 22, 2018

The nurse working in an emergency outpatient clinic admits a diabetic client with an irregularly shaped red area on the calf of the leg that is hot to touch, painful, and edematous with red streaks found traveling from the red area up the back of

the thigh. The nurse anticipates what diagnosis? 1. Venous stasis ulcer
2. Cellulitis
3. Peripheral vascular disease
4. Gangrene

Question 2

While working in a pediatric clinic, the nurse cares for a 2-year-old with a diagnosis of impetigo. The nurse teaches the mother how to care for the child, and determines further teaching is needed when the mother states:

1. I will wash the sore with mild soap to remove crusts.
2. I will apply bacitracin to the wound and cover it with a bandage.
3. I will watch the wound carefully and call the doctor if it feels hot.
4. I will call the doctor if the wound doesn't improve, or gets bigger.

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

Answer to Question 1

2
Rationale: This client most likely has cellulitis, which can occur in any client but is often seen in diabetic clients. Prompt treatment with antibiotics is indicated because it can result in septicemia if not treated aggressively.

Answer to Question 2

3
Rationale: The mother should avoid touching the wound and should teach other family members to avoid it as well, to prevent the spread of infection. There would be no need for the mother to feel it to determine if it feels hot, but rather she should call the doctor if the wound doesn't improve, gets larger, or spreads to other areas of the body or to another family member. The remaining statements are true.