A nurse is caring for a client who has acute osteomyelitis. The client asks the nurse to explain how she developed the infection. The nurse should respond that which of the following organisms is the most common cause?

Escherichia coli

Staphylococcus aureus

Pseudomonas aeruginosa

Streptococcus B

Answer and Explanation

The Correct Answer is B

A.   While E. coli is a common cause of urinary tract infections and other gastrointestinal infections, it is not a typical pathogen associated with osteomyelitis.
B.   This bacterium is the most common cause of acute osteomyelitis, especially the methicillin-resistant Staphylococcus aureus (MRSA) strain.
C.   Pseudomonas is more commonly associated with infections in immunocompromised individuals or those with chronic diseases, but it is not a typical cause of acute osteomyelitis.
D.   Group B Streptococcus is not a common cause of acute osteomyelitis.
Staphylococcus aureus, including MRSA, is more frequently implicated in bone infections.

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Correct Answer is B

Explanation

A. Continuous passive motion (CPM) machines are typically used after joint surgeries, not thoracic surgeries.
B. A chest tube is often used postoperatively after a lobectomy to drain excess air, fluid, or blood from the pleural space.
C. A three-way urethral catheter may be used for urinary drainage, but it is not specific to thoracic surgery.
D. Electroencephalography (EEG) monitoring wires are used for monitoring brain activity and are not typically used in the postoperative care of a client following a lobectomy.

A. Provide oxygen at 6 L/min via nasal cannula. B. Apply cold compresses to joints. C. Perform passive ROM exercises. D. Administer IV fluids E. Obtain consent for a blood transfusion F. Restrict fluid intake to 1,400 mL/day G. Administer meperidine H. Encouraging bedrest

Correct Answer is ["B","C","G","H"]

Explanation

A. Providing oxygen at 6 L/min via nasal cannula is not indicated based on the information provided. The client denies shortness of breath, and vital signs are within normal limits.
B. Applying cold compresses to joints can help reduce swelling and alleviate pain in the extremities.
C. Performing passive range of motion (ROM) exercises is appropriate to maintain joint flexibility and prevent contractures.
D. Administering IV fluids is not explicitly indicated based on the information provided. Fluid management should be individualized based on the client's condition and underlying factors.
E. Obtaining consent for a blood transfusion is not necessary unless the client has severe anemia or bleeding.
F. Restricting fluid intake to 1,400 mL/day may cause dehydration and electrolyte imbalance.
G. Administering meperidine (a narcotic analgesic) may be considered for pain relief.
H. Encouraging bedrest is appropriate to minimize joint stress and promote healing, especially when there is pain and swelling in the extremities.

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A nurse is caring for a client who has acute osteomyelitis. The client asks the nurse to explain how she developed the infection. The nurse should respond that which of the following organisms is the most common cause?

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Explanation

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