A client with Osteomyelitis has been prescribed antibiotics.
What should the nurse prioritize when administering these antibiotics?
Checking the patient's blood pressure.
Monitoring the patient for any allergic reactions.
Ensuring the patient's room is clean and sterile.
Encouraging the patient to engage in strenuous physical activity.
The Correct Answer is B
Choice A rationale:
Checking the patient's blood pressure is important in various clinical situations, but it is not the top priority when administering antibiotics to a patient with osteomyelitis.
Monitoring for allergic reactions and adverse drug effects takes precedence to ensure the patient's safety during antibiotic therapy.
Choice B rationale:
Monitoring the patient for any allergic reactions is a critical priority when administering antibiotics.
Allergic reactions can range from mild rashes to severe anaphylaxis, which can be life-threatening.
Being vigilant for allergic responses allows the nurse to take immediate action if a reaction occurs.
Choice C rationale:
Ensuring the patient's room is clean and sterile is essential for infection control but is not the primary concern when administering antibiotics.
The focus should be on the patient's response to the medication and any potential adverse reactions.
Choice D rationale:
Encouraging the patient to engage in strenuous physical activity is not a priority during antibiotic administration for osteomyelitis.
Rest and proper management of the infection are more critical at this stage.
Physical activity should be guided by the patient's condition and healthcare provider's recommendations once the infection is under control.
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Choice A rationale:
The statement "It's not necessary to finish all the antibiotics if you start feeling better" is incorrect and could lead to treatment failure.
It is essential for patients with osteomyelitis to complete the full course of antibiotics as prescribed by their healthcare provider to ensure complete eradication of the infection.
Stopping antibiotics prematurely can lead to the development of antibiotic-resistant bacteria and a recurrence of the infection.
Choice B rationale:
The statement "Completing the full course of antibiotics helps ensure the infection is completely eradicated" is accurate and appropriate.
Completing the prescribed antibiotic course is crucial to achieving a successful outcome in the treatment of osteomyelitis.
It helps ensure that all bacteria responsible for the infection are killed and reduces the risk of recurrence or antibiotic resistance.
Choice C rationale:
The statement "You can stop taking the antibiotics once the pain and swelling go away" is incorrect and could lead to inadequate treatment.
Pain and swelling resolution may occur before the infection is completely eradicated.
It is essential to complete the full course of antibiotics as prescribed by the healthcare provider, regardless of symptom improvement.
Choice D rationale:
The statement "Skipping a few doses of antibiotics won't affect the outcome of treatment" is incorrect and dangerous.
Skipping doses of antibiotics can lead to incomplete treatment, allowing bacteria to survive and potentially develop resistance to the antibiotics.
Patients should always adhere to the prescribed antibiotic regimen to ensure the best possible outcome.
Correct Answer is D
Explanation
Choice A rationale:
Administering pain medication as needed is important for managing the patient's comfort, but it is not the most crucial aspect of the nursing assessment when evaluating a patient with suspected osteomyelitis.
The priority is to identify signs and symptoms of the infection and determine its extent and severity.
Choice B rationale:
Monitoring vital signs every hour is an essential nursing intervention in many situations, but it may not be the most critical aspect of the assessment for suspected osteomyelitis.
Vital signs should be monitored regularly, but a thorough physical examination is more specific to assessing the presence and extent of the infection.
Choice C rationale:
Assessing the patient's emotional state is important for holistic patient care, but it is not the most crucial aspect of the nursing assessment in this situation.
The primary focus should be on assessing the physical signs and symptoms of osteomyelitis and initiating appropriate treatment.
Choice D rationale:
Conducting a thorough physical examination is the most crucial aspect of the nursing assessment in this situation.
Osteomyelitis presents with localized pain, swelling, and limited range of motion in the affected limb.
The nurse should carefully assess these symptoms, as well as look for signs of infection such as fever, redness, and warmth at the site.
A thorough physical examination helps determine the extent and severity of the condition, which guides treatment decisions.
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