A patient comes to the clinic several days after an outpatient surgical procedure complaining of swelling and pain at the surgical site. The primary care NP notes a small area of erythema but no abscess or induration. The NP should:
a. prescribe TMP-SMX.
b. prescribe topical mupirocin four times daily.
c. suggest that the patient apply warm soaks three times daily.
d. refer the patient to the surgeon for further evaluation.
A
This patient has cellulitis, so empirical treatment with TMP-SMX is indicated. Topical mupirocin is used for superficial skin infections, not cellulitis. Warm soaks may be used as an adjunct to antimicrobial treatment. Unless the cellulitis becomes worse, it is not necessary to refer the patient to the surgeon.
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