Cellulitis Flashcards
True or False
Wound should be cleansed or derided prior to collecting wound specimen?
True
The nurse is assessing a ct diagnosed with cellulitis of the lower extremities, which manifestations would they expect to find on assessment?
A. Deep firm painful nodules
B. Swollen lymph nodes
C. Fever and chills
D. Erythema
B, C, D
The nurse is performing a health history for a new client in the clinic. Which should the nurse identify as a risk factor for cellulitis in an adult? (Select all that apply.)
A. Peripheral vascular disease
B. Hypertension
C. Obesity
D. Diabetes mellitus
E. Impetigo
A. Peripheral vascular disease
C. Obesity
D. Diabetes mellitus
What are the 4 moments of antibiotic decision making?
- Does the pt have an infection requiring antibiotics?
- Have appropriate cultures been ordered, what empiric therapy has been initiated?
- A day or more has passed, can antibiotics be stopped, can therapy be narrowed, can route be switched from IV to PO?
- What duration is required for diagnosis?
What is the typical duration of antibiotics for cellulitis?
7-14 days
The nurse collects a drainage sample to be cultured from the affected area of a client with cellulitis. Which organism should the nurse suspect is the most likely cause of the cellulitis?
A. Escherichia coli
B. Staphylococcus aureus
C. Bacillus subtilis
D. Group A Streptococcus
B. Staphylococcus aureus
The nurse examines a wound on a client with a history of cellulitis. Which manifestation suggests cellulitis?
A. Intact skin with nonblanchable redness and elevated borders
B. Reddened skin with indistinct borders and covered by a yellow, fibrous film
C. Pink or red skin with circumscribed regular borders
D. Red or lilac edematous skin with a well-defined, nonelevated border
D. Red or lilac edematous skin with a well-defined, nonelevated border
The nurse is teaching the client with diabetes mellitus about prevention of cellulitis. Which instruction should the nurse provide? (Select all that apply.)
A. ”Apply topical antibiotic to the wound daily.”
B. “Wear properly fitting shoes.”
C. ”Keep wounds uncovered.”
D. ”Keep wounds dry.”
E. ”Wash the wound carefully with soap and water.”
A. ”Apply topical antibiotic to the wound daily.”
B. “Wear properly fitting shoes.”
E. ”Wash the wound carefully with soap and water.”
The nurse is teaching a client with cellulitis about home care measures to increase comfort. Which instruction should the nurse provide? (Select all that apply.)
A. ”Apply ice packs to the affected area to reduce edema.”
B. ”Apply sterile saline dressings to the affected area to promote drainage.”
C. ”Keep the affected area below the level of the heart to promote circulation.”
D. “Wash hands thoroughly before touching the affected area.”
E. ”Get enough rest.”
B. ”Apply sterile saline dressings to the affected area to promote drainage.”
D. “Wash hands thoroughly before touching the affected area.”
E. ”Get enough rest.”
A client is admitted with cellulitis. Which manifestations of cellulitis should the nurse monitor? (Select all that apply.)
A. Fever
B. Chills
C. Itching
D. Headache
E. Malaise
A. Fever
B. Chills
D. Headache
E. Malaise
A client admitted for treatment of cellulitis appears very ill to the nurse. A WBC count has already been ordered. Which additional diagnostic test does the nurse anticipate being ordered for this client?
A. Erythrocyte sedimentation rate
B. C-reactive protein
C. Electrolyte panel
D. Blood cultures
D. Blood cultures
The family of a client with cellulitis admitted for treatment with systemic antibiotics asks the nurse when they can expect to see improvement. Which response by the nurse provides the best information?
A. ”It is hard to say because we are also giving them analgesics, which can make it seem like they are better, even though they aren’t.”
B. ”Recovery will usually begin within 48 hours of beginning the antibiotics.”
C. ”Clients generally start to feel better and show signs of recovery within 24 hours of starting antibiotics.”
D. ”Because of the need for systemic antibiotics, you will likely not see progress for 5 to 7 days.”
B. ”Recovery will usually begin within 48 hours of beginning the antibiotics.”
A client with severe cellulitis is starting intravenous antibiotic treatment. The nurse is explaining situations that should be reported to the healthcare provider. Which situation should the nurse describe? (Select all that apply.)
A. Increase in lethargy
B. Decrease in pain of affected area
C. Temperature over 38.3°C (101°F)
D. Spread of infected area in the next 24 dash-48 hours
E. Decrease in edema of affected area in the next 24-48 hours
A. Increase in lethargy
C. Temperature over 38.3
degrees°C (101 degrees°F)
D. Spread of infected area in the next 24-48 hours
The nurse is creating a care plan for a client hospitalized for treatment of cellulitis. The cellulitis does not seem to be responding to the antibiotic therapy. Which risk requiring monitoring secondary to this issue should the nurse include in the care plan? (Select all that apply.)
A. Seizures
B. Serious systemic infection
C. Renal failure
D. Osteomyelitis
B. Serious systemic infection
D. Osteomyelitis
