You are caring for a client newly admitted to the unit with a diagnosis of lymphangitis. What interventions would you institute to help promote the resolution of the lymphangitis? Select all that apply
A) Apply ice to the area.
B) Note the response to antibiotic therapy.
C) Encourage independent activities of daily living.
D) Elevate the area.
E) Apply warm soaks/compresses to the area.
B, C, D, E
Feedback:
The nurse inspects the area two to three times daily and notes the client's response to antibiotic therapy. He or she gives assistance if the discomfort interferes with activities of daily living. Elevation reduces the swelling. Warmth promotes comfort and enhances circulation. The nurse notifies the physician if the affected area appears to enlarge, additional lymph nodes become involved, or body temperature remains elevated. In severe cases with persistent swelling, the nurse teaches the client how to apply an elastic sleeve or stocking.
You might also like to view...
Which of the following is an important neurotransmitter in the hypothalamic-pituitary-adrenal (HPA) axis?
a. Acetylcholine b. Adrenocorticotropin c. Glucocorticoid d. T lymphocytes
A patient with a history of alcoholism and esophageal varices was admitted to the intensive care unit and developed multiple organ dysfunction syndrome. Which laboratory results would confirm the nurse's suspicion of hepatic involvement?
1. Increased fibrinogen level 2. Decreased blood urea nitrogen 3. Increased serum bilirubin 4. Increased serum albumin
A patient with traumatic brain injury has had placement of an intraventricular catheter (IVC). The nurse participates in tier two interventions to reduce intracranial pressure (ICP) through which uses of this catheter?
1. Assessing of color of the cerebral spinal fluid (CSF) 2. Assessing of the amount of cerebral spinal fluid 3. Instillation of hyperosmolar therapy via the catheter 4. Draining CSF 5. Directly monitoring the ICP
Upon palpation of the patient's rib cage, the nurse notes a crackling sensation like crumpling cellophane. This indicates:
A) Fluid leaking into the surrounding tissue. B) Air leaking into the surrounding tissue. C) Infection of the lung. D) Cancer in the lung.