Question

A nurse is admitting a client who has an acute bacterial wound infection and a temp of 103.6. Which of the following actions should the nurse take?

A. Obtain a wound culture 30 min after initiating IV antibiotics
B. Place a fan on the lowest setting in the clients room
C. Apply a cooling blanket directly on the client skin
D. Set the temp of the clients room to 72

Answer 1

Obtain a wound culture before initiating IV antibiotics, set the room temperature to 72°F for comfort, and use a cooling blanket if needed with a barrier to protect the skin.

Step-by-step explanation:

In the case of a client with an acute bacterial wound infection and a high temperature of 103.6°F, the nurse should prioritize interventions that address both the infection and the elevated body temperature. First, it is essential to obtain a wound culture before starting IV antibiotics to identify the causative bacteria and determine appropriate antibiotic therapy. Administering antibiotics prior to culture can alter the results. Regarding the environment, setting the temperature to a comfortably cool setting, such as 72°F, helps manage fever by providing a conducive environment for the client's recovery. Direct cooling methods like a cooling blanket may also be used when a client's fever is significantly high and not responsive to antipyretics, but ideally, it should be used with a barrier between the client's skin and the blanket to prevent skin damage. It is not recommended to use a fan, as the movement of air might spread bacteria and contaminants.