A nurse is caring for a client in the Medical-Surgical Unit….
A nurse is caring for a client in the Medical-Surgical Unit. Nurses Notes: Day 1: Client has a 10.2 cm (4 in) by 10.2 cm (4 in) raised, reddened abscess on left thigh. The client reports that the area is warm and painful. Vital Signs: Temp – 39.6 C (103.3)F; BP – 118/56 mm Hg; HR – 106/min; RR – 22/min; O2 Sat 96% (RA) Diagnostic Results Day 2: CBC: WBC 45,000/mm3 (5000 to 10,000/mm3) Wound Culture and Sensitivity: sample taken from left thigh abscess POSITIVE for methicillin-resistant Staphylococcus aureus (MRSA) ** Please designate whether the intervention are: ANTICIPATED (2 of 2 needed); CONTRAINDICATED (2 of 2 needed); or NONESSENTIAL (1 of 1 needed).