A nurse is assessing a patient with Osteomyelitis.
Which findings should the nurse include in the assessment? (Select all that apply.).
Presence of fever and chills.
Chronic draining sinus tracts.
Limited range of motion.
Swelling, warmth, and redness.
Hyperbaric oxygen therapy requirement.
Correct Answer : A,B,D
Choice A rationale:
Presence of fever and chills is an important clinical finding in osteomyelitis.
Fever is the body's response to infection, and chills often accompany fever as the body attempts to raise its temperature.
Choice B rationale:
Chronic draining sinus tracts may be observed in some cases of chronic osteomyelitis.
These tracts develop as a result of chronic infection and the body's attempt to create an outlet for pus and infected material.
They are not typically seen in acute osteomyelitis.
Choice D rationale:
Swelling, warmth, and redness are signs of inflammation and infection in the affected bone and surrounding tissues.
These findings are often present in osteomyelitis, as the body reacts to the infection by increasing blood flow to the area and recruiting immune cells.
Choice C rationale:
Limited range of motion is not a primary assessment finding in osteomyelitis.
While it can occur if the infection affects a nearby joint, it is not a specific or consistent finding in all cases.
Choice E rationale:
Hyperbaric oxygen therapy is not a standard treatment for osteomyelitis and is not typically part of the assessment findings.
It may be considered in some cases but is not a common feature of the assessment.
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Naxlex Comprehensive Predictor Exams
Related Questions
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 ["A","C"]
Explanation
Choice A rationale:
Proper wound care is a crucial strategy for preventing osteomyelitis.
Osteomyelitis often develops as a result of an infection that enters the bone through a wound or an open fracture.
Keeping wounds clean, well-dressed, and promptly treated can help prevent bacterial entry into the bone and reduce the risk of osteomyelitis.
Choice B rationale:
Avoiding vaccinations is not a strategy for preventing osteomyelitis.
In fact, vaccinations, such as the tetanus vaccine, can help prevent infections associated with wounds and fractures, reducing the risk of developing osteomyelitis.
Choice C rationale:
Practicing good hand hygiene and infection control measures is essential in preventing the spread of infections, including those that could lead to osteomyelitis.
Proper hand hygiene and infection control can reduce the risk of introducing bacteria into the body through wounds or medical procedures.
Choice D rationale:
Neglecting diabetes management is not a strategy for preventing osteomyelitis.
However, poorly controlled diabetes can increase the risk of infections, including those that could lead to osteomyelitis.
Therefore, managing diabetes effectively is important in preventing complications.
Choice E rationale:
Delaying the treatment of infections is not a strategy for preventing osteomyelitis.
In fact, prompt treatment of infections is essential to prevent their progression to more severe conditions like osteomyelitis.
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