A family member of an elderly client with cellulitis of the leg asks the nurse what measures the family can implement to prevent this from happening again. The nurse responds with which of the following?
1. "Keep the client off the legs for 20 minutes four times a day.".
2. "Do not allow the client to engage in long walks.".
3. "Maintain a good nutritional balance.".
4. "Bring the client to the doctor if there is a fall.".
3. "Maintain a good nutritional balance.".
Rationale:
The elderly are susceptible to cellulitis as their immune system and skin are compromised as they age. The best preventive measure to maintain skin integrity and a healthier immune system is good nutrition. Cellulitis can occur on any part of the body, so preventing the client from using body parts, such as the legs, is not reasonable and does not prevent cellulitis. Exercise is a good way to promote health, including walking. The nurse would instruct the family regarding signs and symptoms of developing cellulitis after a fall. It is not always necessary to bring the client to the doctor for a fall if no injuries were sustained.
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