[Answered]: he nurse in the medical–surgical unit is caring for…

he nurse in the medical–surgical unit is caring for a 52-year-old male client who has been hospitalized for new symptoms. Nurses’ Notes Vital Signs Provider’s Orders 8/3 1500 Client, a 52-year-old male, was mowing the lawn and afterward noticed a red bump on the lower leg. Client thought it was a mosquito or other insect bite and washed the area with soap and water. Client stated that few days later, the area was red, warm to touch, edematous, open and oozing pus, and painful. Client applied an over-the-counter (OTC) topical antibiotic cream to the area, which was not effective. Integumentary: inflamed, red, warm, edematous open wound with yellow-green purulent drainage; wound located 10 cm above the anterior ankle, measures 2 cm long and 0.5 cm wide; rates pain as 6 on a pain rating scale from 0 to 10; no other lacerations or bruises; skin warm and dry to touch; turgor good Cardiovascular: apical 92 beats/min and regular; no jugular vein distention; peripheral pulses present and equal bilaterally; capillary refill 3 seconds Respiratory: breath sounds clear and present all lung fields; no cough; mucous membranes moist