Andrew Hutchinson ( 27-year-old man) injured his right hand by the garage door. He has undergone surgery to repair it. Theproportion of lymphocytes and total leukocyte count found very low on a routine complete blood count checkup. He had felt pain in his right ring finger post-surgically. On examination of his right hand, redness, warmth, and edematous were observed. Red streaks, radiating proximally on his right forearm, was very clear. Prescription of a very high dose of antibiotics is done and to the affected arm, a sling is applied. Doctors advised reverse isolation for his protection in which nurses have been asked to wear gowns and gloves while attending. After the surgery, his right armpit became tender and enlarged due to the increment of the lymph nodes.

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Chapter 20, Problem 3CCS

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Andrew Hutchinson ( 27-year-old man) injured his right hand by the garage door. He has undergone surgery to repair it. Theproportion of lymphocytes and total leukocyte count found very low on a routine complete blood count checkup. He had felt pain in his right ring finger post-surgically. On examination of his right hand, redness, warmth, and edematous were observed. Red streaks, radiating proximally on his right forearm, was very clear. Prescription of a very high dose of antibiotics is done and to the affected arm, a sling is applied. Doctors advised reverse isolation for his protection in which nurses have been asked to wear gowns and gloves while attending. After the surgery, his right armpit became tender and enlarged due to the increment of the lymph nodes.

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Andrew Hutchinson, 27, had surgery to repair his right hand after it was crushed by his garage door. The routine complete blood count (CBC) performed on admission revealed both a dangerously low total leukocyte count and a low proportion of lymphocytes. One day postsurgery, he complains of pain in his injured right ring finger. When examined, the affected finger and the dorsum of the right hand are red, warm, and edematous, and red streaks radiate proximally on his right forearm. High doses of antibiotics are prescribed, and a sling is applied to the affected arm. Nurses are instructed to wear gloves and gown for Andrew’s protection (called reverse isolation) when tending to him. How might the low lymphocyte count, orders for antibiotic therapy, and reverse isolation be related? Why is it important that Andrew not move the affected arm excessively (i.e., why was the sling ordered)?

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