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    Ati med surg proctored examQuestion 54
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    Ati med surg proctored exam
    Select All That Apply

    A nurse on the medical-surgical unit is planning care for a male client after reviewing their electronic health record (EHR). Exhibits Which of the following provider prescriptions should the nurse anticipate receiving to implement in the client's plan of care? Select 3 provider prescriptions.

    Explanation & Rationale

    A. Encourage client to consume foods with zinc: Zinc plays an important role in wound healing and immune function. Since this client has diabetes and an infected wound, zinc-rich foods can support tissue repair and recovery, making this prescription appropriate. B. Apply ice pack to left foot for 30 min/hr: Ice is not appropriate for an infected wound because it can impair circulation and slow healing. Instead, treatment should focus on infection management, wound care, and improving blood flow. C. Administer an oral antiviral medication: The client’s presentation is consistent with a bacterial infection, not a viral process. Purulent drainage, fever, and wound infection require antibacterial therapy, not antiviral medications. D. Obtain a culture of the client's wound: Wound culture is necessary to identify the causative organism and guide antibiotic therapy. This is an important step in managing diabetic foot infections, which often involve resistant bacteria. E. Administer tetanus toxoid injection: Since the wound occurred after stepping on glass or metal, there is a risk of tetanus exposure. Administering a tetanus booster is recommended if vaccination is not up to date or uncertain. F. Apply transparent dressing over the client's wound: Transparent dressings are not suitable for infected wounds with drainage because they can trap moisture and bacteria. Instead, absorbent dressings should be used to promote healing. G. Place client in airborne precautions: Airborne precautions are for illnesses such as tuberculosis or measles. A foot wound infection does not spread via airborne transmission, so this is unnecessary.

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