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?

Provide a high-calorie, low-protein diet.

Encourage frequent physical activity to increase bone mass.

Maintain a patent intravenous catheter.

Initiate contact precautions for the child.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Providing a high-calorie, low-protein diet is not directly related to the management of osteomyelitis. However, proper nutrition is essential for overall healing and immune function.

Choice B rationale:

Encouraging frequent physical activity to increase bone mass is not appropriate for a child with osteomyelitis. Physical activity can worsen the condition and cause further damage to the affected bone.

Choice C rationale:

Maintaining a patent intravenous catheter is important for administering intravenous antibiotics, which are the mainstay of treatment for osteomyelitis. Ensuring that the catheter is functional and infection-free is crucial for the delivery of appropriate antibiotics to combat the infection.

Choice D rationale:

Initiating contact precautions is not necessary for osteomyelitis. Osteomyelitis is not typically spread through direct contact but results from the spread of bacteria through the bloodstream to the affected bone.

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Correct Answer is B

Explanation

Choice A rationale:

Contacting the client's parents for phone consent might breach the adolescent's confidentiality, especially if they are seeking STI testing. In many jurisdictions, adolescents have the right to confidential healthcare, including STI testing and treatment, without parental consent. Respecting the adolescent's autonomy and confidentiality is crucial in this situation.

Choice B rationale:

Obtaining written consent from the client, if they are of legal age (which is often 16 or older in many jurisdictions), is appropriate and respects the adolescent's autonomy and legal rights. Written consent ensures that the adolescent fully understands the tests being conducted and gives informed consent for the procedure.

Choice C rationale:

Requesting verbal consent from the social worker is not appropriate. Verbal consent can be ambiguous and may not provide sufficient legal documentation of informed consent, especially for sensitive procedures like STI testing.

Choice D rationale:

Postponing the testing until the client's parents are present might not be in the best interest of the adolescent, especially if they are seeking timely healthcare. Delays in testing and treatment could lead to complications or the spread of STIs. Respecting the adolescent's autonomy and providing appropriate, timely care is essential in this situation.

A. Unable to hold a bottle. B. Absent grasp reflex. C. Unable to roll from back to abdomen. D. Exhibits head lag when pulled to a sitting position.

Correct Answer is D

Explanation

Choice A rationale:

Unable to hold a bottle is a developmental milestone expected at around 6 months of age. This is not a concerning finding for a 5-month-old infant.

Choice B rationale:

The grasp reflex is present in infants until about 6 months of age. Its absence is expected at 5 months and is not a cause for concern.

Choice C rationale:

Rolling from back to abdomen is typically achieved by 5 months of age. However, the inability to do so is not necessarily a red flag at this age, as each infant develops at their own pace.

Choice D rationale:

Head lag refers to the infant's head falling backward when pulled to a sitting position, indicating poor head control. This is a significant developmental red flag at 5 months of age and should be reported to the provider. It might indicate possible neuromuscular issues or developmental delays, requiring further evaluation and intervention.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is D

Explanation

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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?