A nurse is monitoring a patient's response to treatment for Osteomyelitis.
Which laboratory tests should the nurse review to assess infection and inflammation? (Select all that apply.).
Complete blood count (CBC).
Erythrocyte sedimentation rate (ESR).
C-reactive protein (CRP) levels.
Blood glucose levels.
Serum electrolytes.
Correct Answer : A,B,C
Choice A rationale:
A complete blood count (CBC) is a valuable laboratory test to assess infection and inflammation.
It can show elevated white blood cell count (indicating infection) and changes in red blood cell parameters, such as anemia, which may occur in chronic infections.
Choice B rationale:
Erythrocyte sedimentation rate (ESR) is a useful laboratory test for assessing inflammation.
In osteomyelitis, ESR is often elevated, reflecting the inflammatory response in the body.
Choice C rationale:
C-reactive protein (CRP) levels are another valuable laboratory marker of inflammation.
CRP is produced in response to inflammation, and elevated levels are often seen in individuals with osteomyelitis.
Choice D rationale:
Blood glucose levels are not directly related to the assessment of infection and inflammation in osteomyelitis.
While diabetes is a risk factor for osteomyelitis, blood glucose levels do not provide specific information about the extent or severity of the infection.
Choice E rationale:
Serum electrolytes are not typically assessed for the diagnosis or monitoring of osteomyelitis.
They are more relevant in assessing electrolyte balance and metabolic status rather than infection and inflammation.
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Correct Answer is C
Explanation
Choice C rationale:
Administering broad-spectrum antibiotics as prescribed is an appropriate nursing intervention for managing Osteomyelitis.
Osteomyelitis is primarily treated with antibiotics to target the causative bacteria.
Broad-spectrum antibiotics are often initially used until the specific pathogen is identified, and then targeted antibiotics can be prescribed.
Choice A rationale:
Administering antifungal medications (choice A) is not the standard treatment for Osteomyelitis.
Osteomyelitis is typically caused by bacterial infections, not fungal infections.
Choice B rationale:
Providing pain management through physical therapy (choice B) is important for the overall comfort and rehabilitation of the patient, but it is not the primary intervention for managing Osteomyelitis.
Antibiotics to treat the infection take precedence.
Choice D rationale:
Recommending a high-dose vitamin C supplement (choice D) is not a standard intervention for managing Osteomyelitis.
While vitamin C can support the immune system and wound healing, it is not a primary treatment for this condition.
Antibiotics and, in some cases, surgical interventions are the mainstay of treatment.
Questions
Correct Answer is C
Explanation
Choice A rationale:
Surgical debridement to remove infected bone tissue is often part of the treatment plan for osteomyelitis.
However, it is not the first-line treatment and is usually performed in conjunction with antibiotic therapy.
Therefore, it is essential to mention antibiotic treatment as well.
Choice B rationale:
Analgesics and anti-inflammatory medications may be prescribed to manage pain and inflammation associated with osteomyelitis, but they are not the primary treatment.
Antibiotics to treat the infection are the primary focus of treatment.
Choice C rationale:
Intravenous antibiotics for an extended period (4-6 weeks) are a crucial part of the treatment plan for osteomyelitis.
These antibiotics are necessary to combat the infection effectively and prevent its spread.
Choice D rationale:
Monitoring circulation, sensation, and motor function is essential in some cases of osteomyelitis, particularly if the infection is severe or involves a joint.
However, it is not the primary treatment plan, and it is not mentioned in isolation from antibiotic therapy, which is the core treatment.
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