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.
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Related Questions
Correct Answer is C
Explanation
A. "Administer an antipyretic to the child."While managing fever with antipyretics is important, it is not the immediate priority. Ensuring the child's safety and preventing the spread of infection are more urgent.
B. "Dim the lights in the child's room."While dimming the lights can help reduce discomfort and sensitivity in a child with meningitis, it is not the first priority. Implementing precautions and addressing infection control is more critical initially.
C. "Implement droplet precautions for the child."Bacterial meningitis is a communicable disease that can be spread via respiratory droplets. Implementing droplet precautions is crucial to prevent the spread of the infection to others and protect healthcare workers. This action should be taken first to ensure proper infection control.
D. "Prepare the child for a lumbar puncture."A lumbar puncture is an important diagnostic procedure for confirming bacterial meningitis, but it should only be performed after appropriate precautions are in place. Ensuring infection control measures are followed first is essential before proceeding with any diagnostic or treatment procedures.
Correct Answer is B
Explanation
Choice A Reason:
"Consume 1,500 to 1,700 calories per day." Caloric needs vary among individuals based on factors like age, sex, activity level, and growth rate. While this calorie range might be suitable for some adolescents, it's not universally applicable. Individual energy needs should be assessed based on various factors.
Choice B Reason:
“Increase the amount of your dietary iron intake." During adolescence, especially in menstruating females, the body's iron requirements increase due to the onset of menstruation and rapid growth. Encouraging adequate intake of dietary iron-rich foods is important to prevent iron deficiency anemia.
Choice C Reason:
"Decrease your vitamin D intake once you start to menstruate." Vitamin D is important for bone health, and menstruation doesn't warrant a decrease in vitamin D intake. Adequate vitamin D intake remains important for bone health, especially during adolescence when bone growth is significant.
Choice D Reason:
"Limit your sodium intake to 3,000 milligrams per day." While excessive sodium intake is a concern, the recommended daily sodium intake varies depending on factors like age and health conditions. For many adolescents, the recommended limit for sodium intake might differ from the specified 3,000 milligrams per day.
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