A 41 year old patient, Rob is admitted to the medical-surgical unit following a debridement of a right lower leg wound secondary to a gunshot wound. The wound is infected with Staphylococcus aureus. The patient is diagnosed with osteomyelitis. The patient's right lower leg is warm in touch and edematous, and the patient states that the extremity has a constant pulsating pain that increases with any movement of the leg. The patient's sedimentation rate and leukocyte rates are elevated. The physician orders the following for the patient: Admit to medical unit with 1. vital signs every 4 hours, 2. Bedrest, 3. Elevate affected leg on pillows above the level of the heart, 4. Warm sterile saline soaks for 20 minutes 3 times per day, with wet-to-dry dressing change, 5. Levofloxacin(levaquin) 750mg IVPB every day, 6. Renal profile, CBC with differential in the morning, 7. Regular diet with high protein supplement shakes, 8. Vitamin C 250mg PO 2 a day, 9. Hydrocodone 1 tablet PO every 4 hours as needed for pain, 10. Docusate sodium(colace) 100mg bid, 11. a. The patient asks the nurse why he has to stay in bed. The nurse should provide what rationale for this measure? b. what nursing interventions should the nurse provide the patient?
a.Osteomyelitis is a condition where there is infection and swelling in the bone which are often fatal.The edema in the leg is the result of impaired circulation with poor force against gravitational force and pooling in the leg. There are high chance of injury and infection and further delay wound healing.Bed rest with elevated leg will enhance drainage and redux swelling.
b.Some of the nursing intervention are
A 41 year old patient, Rob is admitted to the medical-surgical unit following a debridement of...
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