The nurse is providing discharge teaching for a patient with a large carbuncle on the back of the neck
The physician performs surgical incision and drainage under a local anesthetic and prescribes oral antibiotics and daily dressing changes with topical antibiotic ointment. A prescription for acetaminophen with codeine is also provided. Which of the following statements indicates further teaching is necessary?
a. "I will need to increase my fluid and fiber intake to prevent constipation while I'm taking the pain medication."
b. "Once the swelling and redness are gone, I can stop taking the antibiotics."
c. "I should wash the area gently with antibacterial soap before applying a new dressing."
d. "Covering my pillow with plastic and cleaning it every day will help prevent additional infection."
ANS: B
Constipation is a potential complication of the prescribed pain medication and preventive measures such as increased fluid and fiber intake are important. Antibiotics should be taken for the complete course as ordered. It is important to cleanse surrounding skin with antibacterial soap, followed by application of antibacterial ointment. Cover mattress and pillows with plastic and wipe daily with a disinfectant to prevent spread of infection.
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