A nurse is caring for a patient who has acute osteomyelitis.
Which of the following interventions is the nurse's priority?
Increase the patient's protein intake.
Teach relaxation breathing to reduce the patient's pain.
Provide the patient with antipyretic therapy.
Administer antibiotics to the patient.
The Correct Answer is D
Choice A rationale
Increasing protein intake is important for tissue repair and overall healing in patients with osteomyelitis. However, addressing the acute bacterial infection is the immediate priority to prevent further bone destruction and systemic spread of the infection.
Choice B rationale
Teaching relaxation breathing can help manage the pain associated with osteomyelitis. While pain management is crucial for patient comfort, it does not address the underlying bacterial infection that is causing the acute illness and bone damage.
Choice C rationale
Antipyretic therapy, such as acetaminophen or ibuprofen, can help reduce fever, which is a common systemic manifestation of acute osteomyelitis. However, lowering the fever does not treat the underlying infection and its potential complications.
Choice D rationale
Acute osteomyelitis is a bone infection, and the priority intervention is the prompt administration of antibiotics. Antibiotics target and eradicate the causative bacteria, preventing further bone destruction, reducing the risk of sepsis, and promoting healing. Delaying antibiotic administration can lead to severe and potentially life-threatening complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While weight loss is generally healthy for obese individuals, this statement dismisses a potential link between obesity and reflux, which may not be entirely accurate. Increased intra-abdominal pressure due to excess weight is a known contributing factor to gastroesophageal reflux.
Choice B rationale
Excess abdominal adipose tissue increases pressure on the stomach. This elevated pressure can overcome the lower esophageal sphincter's (LES) barrier function, allowing stomach acid and contents to reflux into the esophagus, causing the symptoms of gastroesophageal reflux disease (GERD).
Choice C rationale
While a high-fat diet can contribute to reflux by delaying gastric emptying and relaxing the LES, this statement generalizes that all obese people eat more high-fat food. Obesity itself, regardless of dietary habits, can increase intra-abdominal pressure.
Choice D rationale
This statement is a generalization about the eating habits of obese individuals and does not directly explain the physiological mechanism by which obesity can cause reflux. While larger or more frequent meals can increase stomach distension and potentially reflux, the primary link related to obesity is the increased abdominal pressure.
Correct Answer is ["415"]
Explanation
Step 1 is: Calculate the total amount of irrigant instilled: 30 mL × 2 = 60 mL.
Step 2 is: Calculate the net NG drainage by subtracting the irrigant from the total canister volume: 475 mL - 60 mL = 415 mL.
Final calculated answer: 415 mL.
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