A 9 year old is in the ER. His mother has brought him because of a leg injury. The child has been diagnosed with cellulitis. The nursing plan of care would include all of the following except:
1. Vital signs, including a heart rate, should be taken every 2 to 4 hours to monitor for furthering infection.
2. Assessing perfusion to the extremity.
3. Keeping the leg in a dependent position.
4. Encouraging oral fluids.
3
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1. Vital sign changes can indicate furthering infection
2. Perfusion indicates if the tissue is receiving the adequate nutrition it needs to heal.
3. Keeping the leg in a dependent position allows for blood pooling and does not help the healing process.
4. Oral fluids help the patient stay hydrated during this time.
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