You are discharging a 4-year-old patient from the emergency department. The patient was seen for an insect bite that became swollen and reddened and warm and painful to touch
The patient's vital signs are all within normal range for age. While giving discharge instructions to the patient's father, you are asked why the child is not going to get antibiotics for the infected insect bite. What would be your best response?
A) "This is a local inflammatory response to the insect bite; it is not an infection so antibiotics will not help."
B) "I am sure the doctor knows what he is doing."
C) "You don't need to worry; your son will be fine."
D) "Infection is not the same as inflammation. What your son has is inflammation."
Ans: A
Feedback: Regardless of the cause, a general sequence of events occurs in the local inflammatory response. This sequence involves changes in the microcirculation, including vasodilation, increased vascular permeability, and leukocytic cellular infiltration. As these changes take place, five cardinal signs of inflammation are produced: redness, heat, swelling, pain, and loss of function. Options B and C are incorrect responses because they negate the father's concern for his son. Option D is a correct response but does not respond to the question the father asks the nurse.
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