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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Acute acetylsalicylic acid (aspirin) poisoning can lead to hyperpyrexia, which is an extremely high fever, often above 106°F (41.1°C) This hyperpyrexia occurs due to the toxic effects of salicylates on the hypothalamus, the part of the brain that regulates body temperature. Aspirin poisoning can disrupt the body's ability to regulate temperature, leading to a dangerously high fever.
Choice B rationale:
Neck vein distention is not a common symptom of acute acetylsalicylic acid poisoning. This finding is more indicative of issues related to the cardiovascular system, such as heart failure or fluid overload.
Choice C rationale:
Polyuria (excessive urination) is not a typical symptom of acute aspirin poisoning. Aspirin toxicity is more likely to cause dehydration due to increased respiratory rate and metabolic acidosis.
Choice D rationale:
Jaundice, the yellowing of the skin and eyes, is not a characteristic symptom of acute acetylsalicylic acid poisoning. Jaundice typically occurs in conditions affecting the liver, such as hepatitis or liver failure.
Correct Answer is A
Explanation
Choice A rationale:
A sausage-shaped abdominal mass is a classic sign of intussusception, a condition where one segment of the intestine telescopes into another, causing obstruction. This is a medical emergency that requires prompt intervention.
Choice B rationale:
Increased urinary output is not a characteristic finding of intussusception. Instead, the child may present with signs of dehydration due to vomiting, diarrhea, and decreased oral intake caused by the obstruction.
Choice C rationale:
Constipation is a symptom that can be associated with various gastrointestinal disorders but is not specific to intussusception. In intussusception, the child typically experiences severe abdominal pain, vomiting, and the classic sausage-shaped abdominal mass.
Choice D rationale:
A board-like abdomen can occur in conditions such as peritonitis, but it is not a typical finding in intussusception. The presence of a sausage-shaped abdominal mass is the hallmark sign of intussusception.
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