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    ATI Adult health proctored exam (med surg)

    A nurse is developing a plan of care for a client who has cellulitis of the leg.Which of the following interventions should the nurse include in the plan?

    Explanation & Rationale

    Choice A rationaleElevating the affected leg promotes venous return and lymphatic drainage, which helps to reduce swelling and inflammation associated with cellulitis. Gravity assists in the removal of excess fluid from the interstitial spaces, thereby alleviating pressure and promoting healing.Choice B rationaleApplying fresh ice packs every 4 hours can provide some pain relief and vasoconstriction, potentially reducing inflammation in the initial stages of cellulitis. However, heat is generally preferred after the acute inflammatory phase to promote circulation and healing. Frequent, prolonged ice application might impede blood flow.Choice C rationaleWhile rest is important for healing, enforcing strict bedrest for 3 days might not be necessary and could increase the risk of complications such as deep vein thrombosis. Moderate activity with elevation is usually recommended to promote circulation without exacerbating the infection.Choice D rationaleCellulitis is a deep infection of the skin and subcutaneous tissues, typically caused by bacteria entering through a break in the skin. Applying topical antibiotic ointment is unlikely to reach the deeper infected tissues and is not the primary treatment. Systemic antibiotics are required to treat cellulitis effectively.

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