A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care?
Encourage frequent physical activity to increase bone mass.
Provide a high-calorie, low-protein diet
Initiate contact precautions for the child.
Maintain a patent intravenous catheter.
The Correct Answer is D
Choice A Reason:
Encourage frequent physical activity to increase bone mass: While physical activity is generally beneficial for overall health, in the case of osteomyelitis, encouraging excessive or frequent physical activity might exacerbate pain, discomfort, and the risk of further bone injury. Controlled and appropriate physical activity may be recommended, but it should be individualized based on the child's condition and the affected area.
Choice B Reason:
Provide a high-calorie, low-protein diet: In osteomyelitis, a balanced and nutritious diet is important to support the child's overall health and aid in recovery. However, a high-calorie, low-protein diet would not be suitable for combating infection or supporting healing. Adequate protein intake is essential for tissue repair and immune function.
Choice C Reason:
Initiate contact precautions for the child: Osteomyelitis is not typically transmitted from person to person. It's an infection within the bone that doesn't require contact precautions for prevention of spread among individuals. Treatment primarily involves antibiotics and sometimes surgical drainage, but it doesn't necessitate isolation precautions.
Choice D Reason:
Maintain a patent intravenous catheter: Antibiotics are the mainstay of treatment for osteomyelitis, and they are usually administered intravenously for an extended period to effectively eradicate the infection. Maintaining a patent intravenous catheter ensures continuous access for medication administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
"We will apply lotion to the skin under the straps." Applying lotion under the straps might create moisture, interfere with the harness's function, or cause skin irritation. It's generally recommended to avoid lotions or creams under the straps.
Choice B Reason:
"We should expect our baby to wear this harness for 2 weeks." The duration for wearing a Pavlik harness can vary significantly depending on the severity of the hip dysplasia and the infant's response to treatment. The duration is determined by the healthcare provider's assessment and may extend beyond 2 weeks.
Choice C Reason:
"We will place the diaper under the straps." Placing the diaper under the straps helps prevent skin irritation and chafing caused by the straps rubbing against the skin. It ensures that the skin remains protected and reduces the risk of skin breakdown or discomfort for the infant.Pavlik harnesses are typically designed to keep the hips in a specific position, and diapers should be placed underneath to avoid leaks soiling the harness
Choice D Reason:
"We should adjust the straps daily." Adjusting the straps of a Pavlik harness should only be done by a healthcare professional to ensure proper positioning and safety.
Correct Answer is D
Explanation
Choice A Reason:
Moving the baby's stuffed animal to the corner of the crib might not address the risk factors for SIDS, and loose bedding or soft objects in the sleep environment can increase the risk.
Choice B Reason:
Having the baby sleep next to the parent in bed might increase the risk of accidental suffocation or entrapment, which are factors associated with an increased risk of SIDS.
Choice C Reason:
Placing the baby on their side to sleep for naps is not recommended because the safest sleep position for infants is on their back. Side sleeping can also increase the risk of the baby rolling onto their stomach, which is a higher risk position for SIDS.
Choice D Reason:
"I will dress my baby in lightweight clothing to sleep." Is correct. Sudden Infant Death Syndrome (SIDS) risk reduction strategies include dressing infants in lightweight clothing to prevent overheating, which is considered a risk factor for SIDS. Ensuring the baby is not excessively bundled up or overheated during sleep can help reduce the risk.
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