A nurse is providing education to a group of patients at risk of Osteomyelitis.
Select all risk factors for Osteomyelitis from the following options:
History of peripheral vascular disease.
Recent bone fracture requiring surgery.
Immunocompromised due to HIV/AIDS.
Intravenous drug use.
Recent viral infection.
Correct Answer : A,B,C,D
Choice A rationale:
A history of peripheral vascular disease (choice A) is a risk factor for Osteomyelitis.
Reduced blood flow to the extremities can impair the body's ability to deliver immune cells and antibiotics to the site of infection, making it easier for bacteria to establish an infection.
Choice B rationale:
Recent bone fracture requiring surgery (choice B) is a risk factor for Osteomyelitis, especially if the fracture site becomes contaminated during surgery or if there are complications with the healing process.
Choice C rationale:
Being immunocompromised due to HIV/AIDS (choice C) is a significant risk factor for Osteomyelitis.
A weakened immune system is less capable of fighting off infections, including those that can lead to Osteomyelitis.
Choice D rationale:
Intravenous drug use (choice D) is a risk factor for Osteomyelitis, primarily due to the potential introduction of bacteria into the bloodstream through contaminated needles or drugs.
This can lead to hematogenous spread of infection to the bones.
Choice E rationale:
Recent viral infection (choice E) is not a direct risk factor for Osteomyelitis.
While viral infections can weaken the immune system temporarily, Osteomyelitis is primarily caused by bacterial infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C rationale:
Administering broad-spectrum antibiotics as prescribed is an appropriate nursing intervention for managing Osteomyelitis.
Osteomyelitis is primarily treated with antibiotics to target the causative bacteria.
Broad-spectrum antibiotics are often initially used until the specific pathogen is identified, and then targeted antibiotics can be prescribed.
Choice A rationale:
Administering antifungal medications (choice A) is not the standard treatment for Osteomyelitis.
Osteomyelitis is typically caused by bacterial infections, not fungal infections.
Choice B rationale:
Providing pain management through physical therapy (choice B) is important for the overall comfort and rehabilitation of the patient, but it is not the primary intervention for managing Osteomyelitis.
Antibiotics to treat the infection take precedence.
Choice D rationale:
Recommending a high-dose vitamin C supplement (choice D) is not a standard intervention for managing Osteomyelitis.
While vitamin C can support the immune system and wound healing, it is not a primary treatment for this condition.
Antibiotics and, in some cases, surgical interventions are the mainstay of treatment.
Questions
Correct Answer is D
Explanation
Choice A rationale:
Administering pain medication as needed is important for managing the patient's comfort, but it is not the most crucial aspect of the nursing assessment when evaluating a patient with suspected osteomyelitis.
The priority is to identify signs and symptoms of the infection and determine its extent and severity.
Choice B rationale:
Monitoring vital signs every hour is an essential nursing intervention in many situations, but it may not be the most critical aspect of the assessment for suspected osteomyelitis.
Vital signs should be monitored regularly, but a thorough physical examination is more specific to assessing the presence and extent of the infection.
Choice C rationale:
Assessing the patient's emotional state is important for holistic patient care, but it is not the most crucial aspect of the nursing assessment in this situation.
The primary focus should be on assessing the physical signs and symptoms of osteomyelitis and initiating appropriate treatment.
Choice D rationale:
Conducting a thorough physical examination is the most crucial aspect of the nursing assessment in this situation.
Osteomyelitis presents with localized pain, swelling, and limited range of motion in the affected limb.
The nurse should carefully assess these symptoms, as well as look for signs of infection such as fever, redness, and warmth at the site.
A thorough physical examination helps determine the extent and severity of the condition, which guides treatment decisions.
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