A 57-year-old female client had a large

A 57-year-old female client had a large mole removed from her left upper arm by a dermatologist in the office 2 days ago. She has a history of atrial fibrillation, chronic heart failure, diabetes mellitus type 2, and multiple lower back surgeries for persistent back pain. This morning the client asked her daughter to drive her to the emergency department (ED) for severe radiating pain 8/10 in her entire left arm. When the nurse removes the bandage from the area, the nurse notes that the skin and tissue around the wound are reddened, very swollen, and warm. The wound drainage is foul smelling and greenish-yellow. The client’s temperature is 100.6 F (38.2C), and she is admitted to the hospital with left upper arm cellulitis. Choose the most likely options for actions that are: 1. Place the patient on contact precautions 2. Apply cold compresses on her left upper arm 3. Elevate the client’s left arm on a pillow 4. Take a wound culture every shift to determine if the infection is improving 5. Initiate IV access for the client to receive fluids and antibiotic therapy 6. Administer subcutaneous sodium heparin every 12 hours Place these 6 actions under Indicted, Contraindicated or non essential SCIENCE HEALTH SCIENCE NURSING NURSING 131

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