The nurse is assessing a patient admitted with a large infected abdominal wound with the surrounding tissue turning dusky in color
Which of the following assessment findings could indicate that the patient is experiencing necrotizing fasciitis? 1. obese intravenous drug user
2. employment in a school cafeteria
3. smokes 1 pack per day for 10 days
4. blood pressure 140/90 mm Hg
1
Rationale: Predisposing factors for the development of necrotizing fasciitis include a history of chronic disease such as renal failure, peripheral vascular disease, or diabetes. Other factors include drug use such as steroids or intravenous drugs. Obesity, malnutrition, and advancing age are also contributing factors to the development of the disease. The other assessment findings are not considered predisposing factors to the development of necrotizing fasciitis.
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