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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.

Answer and Explanation

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 ["A","B","C","D"]

Explanation

Choice A rationale:

A history of peripheral vascular disease (choice A) is a risk factor for Osteomyelitis.

Reduced blood flow to the extremities can impair the body's ability to deliver immune cells and antibiotics to the site of infection, making it easier for bacteria to establish an infection.

Choice B rationale:

Recent bone fracture requiring surgery (choice B) is a risk factor for Osteomyelitis, especially if the fracture site becomes contaminated during surgery or if there are complications with the healing process.

Choice C rationale:

Being immunocompromised due to HIV/AIDS (choice C) is a significant risk factor for Osteomyelitis.

A weakened immune system is less capable of fighting off infections, including those that can lead to Osteomyelitis.

Choice D rationale:

Intravenous drug use (choice D) is a risk factor for Osteomyelitis, primarily due to the potential introduction of bacteria into the bloodstream through contaminated needles or drugs.

This can lead to hematogenous spread of infection to the bones.

Choice E rationale:

Recent viral infection (choice E) is not a direct risk factor for Osteomyelitis.

While viral infections can weaken the immune system temporarily, Osteomyelitis is primarily caused by bacterial infections.

A. Administering intravenous antibiotics. B. Applying ice packs to the affected area. C. Providing analgesics as prescribed. D. Initiating physical therapy exercises.

Correct Answer is C

Explanation

Choice A rationale:

Administering intravenous antibiotics is an essential part of treating osteomyelitis to eliminate the infection.

However, if the client is complaining of severe bone pain, addressing pain management should be a priority to provide comfort and improve the client's overall well-being.

Choice B rationale:

Applying ice packs to the affected area may provide some relief for localized pain and inflammation, but it is not the primary intervention for severe bone pain associated with osteomyelitis.

Analgesics are more effective in managing significant pain.

Choice C rationale:

Providing analgesics as prescribed is a crucial step in managing severe bone pain in clients with osteomyelitis.

Adequate pain control is essential to improve the client's comfort and quality of life during the treatment and recovery process.

Choice D rationale:

Initiating physical therapy exercises may be beneficial in some cases to improve joint mobility and function after the acute phase of osteomyelitis.

However, it is not the primary intervention for managing severe bone pain, which requires immediate pain relief through analgesics.

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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.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a group of patients at risk of Osteomyelitis.Select all risk factors for Osteomyelitis from the following options:

Correct Answer is ["A","B","C","D"]

Explanation

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Correct Answer is C

Explanation

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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.).