You are discharging a 4-year-old boy from the emergency department. The boy 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, he asks 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) "In children who are previously healthy, inflammation and infections usually resolve without the need for drugs."
C) "I'll make sure the doctor is made aware that you'd like your son to have a course of antibiotics."
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. Infections do not always resolve spontaneously. The nurse should teach the patient's father about the reasons that antibiotics are unnecessary rather than simply deferring to the physician.
You might also like to view...
The nurse is meeting with a family that is facing the death of their father. The family tells the nurse they are looking for ways to help him and themselves during this period. In order to help this family, what would the nurse need to do first?
A) Assess the faith needs of the group B) Diagnose any faith-related problems and evaluate their ability to provide spiritual care for themselves C) Inform the family it is out of the nurse's scope of care to provide spiritual guidance D) Contact clergy to provide professional guidance
A 2-year-old child recently diagnosed with a seizure disorder will be discharged home on an anticonvulsant
Which of the following actions by the mother best demonstrates understanding of how to give the medication? The mother 1. verbalizes how to give themedication. 2. acknowledges understanding ofwritten instructions. 3. draws up the medication correctly inan oral syringe and administers it to the child. 4. observes the nurse draw up themedication and administer it to the child.
Developing an education plan is comparable to what other nursing activity?
A) Documenting in the nurses notes B) Formulating a nursing care plan C) Performing a complex technical skill D) Using a standardized form or format
A client is scheduled for surgery in 2 weeks. Which of the following should the nurse instruct the client regarding healthy lifestyle behaviors?
1. Eat nutritious meals. 2. If obese, cut calories before the surgery. 3. If sedentary, exercise more before the surgery. 4. Stop all prescribed medications.