Cellulitis is an acute bacterial skin infection causing redness, warmth, and swelling. Nurses must identify early signs and apply evidence-based interventions to prevent complications such as sepsis or tissue necrosis.
Nursing Care Plans for NCLEX Review
Nursing Care Plan #1 – Impaired Skin Integrity
Impaired Skin Integrity related to bacterial invasion secondary to cellulitis as evidenced by redness and edema.
Interventions & Rationales:
- Assess skin daily for changes → monitors healing.
- Apply antibiotics/dressings → prevents reinfection.
- Educate patient on hygiene → reduces recurrence.
Outcome: Skin heals without new infection.
Nursing Care Plan #2 – Acute Pain
Acute Pain related to inflammation of tissues as evidenced by verbal report of pain and guarding.
Interventions & Rationales:
- Assess pain level regularly.
- Provide analgesics as prescribed.
- Elevate affected limb to relieve pressure.
Outcome: Patient reports pain reduction and comfort.
Nursing Care Plan #3 – Risk for Infection
Risk for Infection related to open wound and compromised tissue barriers.
Interventions & Rationales:
- Perform hand hygiene and wound care using aseptic technique.
- Monitor temperature and WBC for systemic infection.
- Educate patient to complete antibiotic therapy.
Outcome: No fever or spreading redness.
FAQ
1. What is the top priority in cellulitis nursing care?
Prevent infection progression and maintain skin integrity.
2. What teaching points are important?
Wound hygiene, medication adherence, and early reporting of symptoms.
Peer-Reviewed References
- Gulanick & Myers, Nursing Care Plans
- Potter & Perry, Fundamentals of Nursing
- Lewis et al., Medical-Surgical Nursing
- Brunner & Suddarth, Textbook of Medical-Surgical Nursing