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 ["C","D","E"]

Explanation

Choice A rationale:

Partial thromboplastin time (PTT) measures the time it takes for blood to clot and is used to monitor conditions like bleeding disorders or the effectiveness of anticoagulant therapy. PTT is not specific to rheumatic fever and does not contribute to confirming this diagnosis.

Choice B rationale:

Blood urea nitrogen (BUN) measures the amount of nitrogen in the blood that comes from urea. It is a marker of kidney function and hydration status. BUN levels are not directly related to rheumatic fever and do not play a role in confirming this diagnosis.

Choice C rationale:

Erythrocyte sedimentation rate (ESR) is a nonspecific marker of inflammation in the body. Elevated ESR levels indicate the presence of inflammation but do not confirm a specific diagnosis. In the context of suspected rheumatic fever, elevated ESR levels, along with other clinical findings, can support the diagnosis.

Choice D rationale:

Antistreptolysin O (ASO) titer measures the level of antibodies against streptolysin O, a toxin produced by group A Streptococcus bacteria. Elevated ASO titers indicate a recent streptococcal infection, which is a common trigger for rheumatic fever. Positive ASO titers, along with clinical symptoms and other laboratory findings, contribute to confirming the diagnosis of rheumatic fever.

Choice E rationale:

C-reactive protein (CRP) is another marker of inflammation in the body. Elevated CRP levels indicate the presence of inflammation but do not confirm a specific diagnosis. In the context of suspected rheumatic fever, elevated CRP levels, along with other clinical and laboratory findings, can support the diagnosis by indicating the presence of inflammation.

A. Use a 24-gauge catheter to start the IV. B. Start the IV in the infant's foot. C. Change the IV site every 3 days. D. Cover the insertion site with an opaque dressing.

Correct Answer is A

Explanation

Answer is A. Use a 24-gauge catheter to start the IV.

A 24-gauge catheter is the smallest and most appropriate size for an infant's vein¹. It reduces the risk of infiltration, phlebitis, and thrombosis².

B. Start the IV in the infant's foot. Statement is wrong because starting the IV in the foot can interfere with the infant's mobility and increase the risk of infection³. The preferred sites for IV insertion in infants are the scalp, hand, or arm veins⁴.

C. Change the IV site every 3 days. Statement is wrong because changing the IV site every 3 days is not recommended for infants and children. The IV site should be changed only when clinically indicated, such as signs of infection, infiltration, or phlebitis.

D. Cover the insertion site with an opaque dressing. Statement is wrong because covering the insertion site with an opaque dressing can obscure the visibility of the site and prevent early detection of complications. A transparent dressing is preferred as it allows for continuous assessment of the site.

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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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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?