Cellulitis NCLEX-style Questions

Cellulitis NCLEX-style Questions 4.8 (4 reviews) Students also studied Terms in this set (20) Delgado Community College NURS 113 Save cellulitis practice questions 20 terms Eli7783Preview Fluid and Electrolytes NCLEX Quest...33 terms Alex_Hassiepen Preview Pneumonia NCLEX practice questio...34 terms Daniel_Griffiths2 Preview

Exam 1:

14 terms dan The nurse is assessing a client diagnosed with cellulitis of the upper left arm. Which manifestation should the nurse anticipate finding with this​ client? (Select all that​ apply.)

• Swollen lymph glands
• Pustules with surrounding erythema
• ​Deep, firm, painful nodule
• Fever and chills
• Erythema
• Swollen lymph glands
• Fever and chills
• Erythema

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.)

• Peripheral vascular disease
• Hypertension
• Obesity
• Diabetes mellitus
• Impetigo
• Peripheral vascular disease
• Obesity
• Diabetes mellitus

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?

• Escherichia coli
• Staphylococcus aureus
• Bacillus subtilis
• Group A Streptococcus
• Staphylococcus aureus

The nurse is performing a health history on a client with cellulitis that developed from a hand wound. Which factor will help determine the organism responsible for the​ cellulitis? (Select all that​ apply.)

• Current medications
• History of cellulitis
• Cause of wound
• Wound exposure to contaminated water
• History of diabetes
• Cause of wound
• Wound exposure to contaminated water

The nurse examines a wound on a client with a history of cellulitis. Which manifestation suggests​ cellulitis?

• Intact skin with nonblanchable redness and elevated

borders

• Reddened skin with indistinct borders and covered by

a​ yellow, fibrous film

• Pink or red skin with circumscribed regular borders
• Red or lilac edematous skin with a​ well-defined,

nonelevated border

• 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.)

• ​"Apply topical antibiotic to the wound​ daily."

B.​ "Wear properly fitting​ shoes."

• ​"Keep wounds​ uncovered."
• ​"Keep wounds​ dry."
• ​"Wash the wound carefully with soap and​ water."
• ​"Apply topical antibiotic to the wound​ daily."

B.​ "Wear properly fitting​ shoes."

• ​"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.)

• ​"Apply ice packs to the affected area to reduce​

edema."

• ​"Apply sterile saline dressings to the affected area to

promote​ drainage."

• ​"Keep the affected area below the level of the heart to

promote​ circulation." D.​ "Wash hands thoroughly before touching the affected​ area."

• ​"Get enough​ rest."
• ​"Apply sterile saline dressings to the affected area to promote​ drainage."

D.​ "Wash hands thoroughly before touching the affected​ area."

• ​"Get enough​ rest."

The nurse is providing home care instruction to the client with cellulitis. Which​ statement, if made by the​ client, should concern the​ nurse?

• ​"I will keep all​ follow-up appointments with my

healthcare​ provider."

• ​"I will be sure to get enough rest and stay off my

affected​ leg."

• ​"I will take my antibiotics until the affected area looks

less​ red."

• ​"I will keep my affected leg elevated to keep swelling​

down."

• ​"I will take my antibiotics until the affected area looks less​ red."

A client is admitted with cellulitis. Which manifestation should the nurse​ monitor? (Select all that​ apply.)

• Fever
• Chills
• Itching
• Headache
• Malaise
• Fever
• Chills
• Headache
• Malaise

The pediatric nurse is discussing with the parent the care of a toddler with multiple insect bites. Which information should the nurse include in the discussion to help prevent development of​ cellulitis?

• ​"Distract the toddler from scratching or picking at the​

wounds."

• ​"Make sure the​ toddler's hands are washed​ frequently."
• ​"Bathe the toddler daily using Epsom salts in the​ bath."
• ​"Administer antipyretics to help with​ discomfort."
• ​"Distract the toddler from scratching or picking at the​ wounds."

A client presents to the healthcare​ provider's office with cellulitis on the lower leg. Other than the inflammation of the​ leg, the client has no other symptoms. To determine the causative​ organism, the nurse anticipates an order for which​ test?

• WBC count
• Drainage culture
• RBC count
• Blood culture
• Drainage culture

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?

• Erythrocyte sedimentation rate
• ​C-reactive protein
• Electrolyte panel
• Blood cultures
• 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?

• ​"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."

• ​"Recovery will usually begin within 48 hours of

beginning the​ antibiotics."

• ​"Clients generally start to feel better and show signs of

recovery within 24 hours of starting​ antibiotics."

• ​"Because of the need for systemic​ antibiotics, you will

likely not see progress for 5 to 7​ days."

• ​"Recovery will usually begin within 48 hours of beginning the​ antibiotics."

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.)

• Seizures
• Arthritis
• Serious systemic infection
• Renal failure
• Osteomyelitis
• Arthritis
• Serious systemic infection
• Osteomyelitis

A client with cellulitis asks the nurse if it is okay to try an herbal supplement their herbalist recommended instead of the antibiotic. Which response by the nurse best addresses this​ question?

• ​"If that is what you prefer to​ do, I think it would be okay

for you to try it for a few days and see if it works. If​ not, then you can start the​ antibiotic."

• ​"Herbal supplements have a lot of myths surrounding

them. They are not appropriate in any​ situation, let alone one this​ serious."

• ​"It is best to take the antibiotic because the

supplement may actually increase the risk for a bad​ outcome."

• ​"Many herbal supplements are analogous to

prescription medications. Which one are you​ considering?"

• ​"It is best to take the antibiotic because the supplement may actually increase

the risk for a bad​ outcome." 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.)

• Increase in lethargy
• Decrease in pain of affected area
• Temperature over 38.3°C ​(101°​F)
• Spread of infected area in the next 24 dash-48 hours
• Decrease in edema of affected area in the next 24-48

hours

• Increase in lethargy
• Temperature over 38.3

degrees°C ​(101 degrees°​F)

• Spread of infected area in the next 24-48 hours

The nurse is completing a health history on a client with cellulitis. Which additional symptom should the nurse assess during the health​ history? (Select all that​ apply.)

• Muscle aches
• Numbness
• Nausea
• Stiffness
• Pain
• Muscle aches
• Nausea
• Stiffness
• Pain