The nurse is collecting data on a child brought to the health care clinic by the mother with a one-week-old cat scratch. While assessing the scratch the nurse notes redness, heat, swelling, and red streaking surrounding the area
The child states that the scratch hurts. Cellulitis is diagnosed. When providing home care instructions, which of the following statements made by the mother indicates a need for further education? 1. "The child should rest in bed."
2. "I should apply cool, moist soaks every 4 hours."
3. "I should take the child's temperature and watch for a fever."
4. "The affected extremity should be elevated and immobilized."
2
Rationale: The child with cellulitis should rest in bed, and the affected extremity should be ele-vated and immobilized. Warm moist soaks applied every 4 hours increase circulation to the in-fected area, relieve pain, and promote healing. Frequent hand washing is essential to prevent the spread of infection. The child should be carefully monitored for signs of sepsis, increased fever, chills, and confusion, or for the spread of infection.
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