A nurse is reinforcing teaching with a client that has osteomyelitis of an open wound on his heel. Which of the following information should the nurse include?

"Your provider may prescribe a central catheter line for long term antibiotics.

"You may need to provide a cold pack to the site three times (3x) per day."

"You will need to limit consumption of high protein foods."

"Your provider may ask you to walk multiple times per day to increase circulation."

Answer and Explanation

The Correct Answer is A

A. "Your provider may prescribe a central catheter line for long-term antibiotics." Correct. Osteomyelitis often requires long-term intravenous antibiotics, and a central catheter line is typically used for this purpose.

B. "You may need to apply a cold pack to the site three times per day." Cold therapy is not a standard treatment for osteomyelitis; managing infection and inflammation through medication is key.

C. "You will need to limit consumption of high-protein foods." There is no need to limit high-protein foods; in fact, adequate nutrition, including protein, is important for healing.

D. "Your provider may ask you to walk multiple times per day to increase circulation." While mobility is important, walking on an infected heel wound might not be advisable until the infection is under control.

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Correct Answer is D

Explanation

A. Provide an elevated toilet seat: This is important for preventing hip dislocation but is not the immediate priority.
B. Assist out of bed immediately following surgery: Mobilizing the patient is important to prevent complications such as deep vein thrombosis (DVT) and pneumonia, but this should be done safely and as prescribed.
C. Medicate with pain medications: Pain management is crucial for postoperative recovery but is part of comprehensive care rather than the single priority.
D. Maintain weight bearing as prescribed: Following weight-bearing restrictions is critical to ensure proper healing and prevent complications such as dislocation or prosthetic failure. This is the immediate priority in terms of preventing harm and ensuring recovery.

A. Apply warm compresses to the fractured leg B. Encourage the patient to bear weight on the affected leg C. Monitor the surgical incision for signs of infection D. Assist the patient with ambulation using crutches or a walker

Correct Answer is C

Explanation

A. Apply warm compresses to the fractured leg: Warm compresses are not typically recommended immediately after surgery due to the risk of increasing inflammation and swelling.

B. Encourage the patient to bear weight on the affected leg: Weight bearing should be done according to the physician's orders. Early weight bearing can cause complications if not appropriately timed.

C. Monitor the surgical incision for signs of infection: This is a critical nursing intervention to prevent and detect postoperative infections early.

D. Assist the patient with ambulation using crutches or a walker: Assisting with ambulation using crutches or a walker is important for safety and promoting mobility, but it should be done following weight-bearing restrictions.

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A nurse is reinforcing teaching with a client that has osteomyelitis of an open wound on his heel. Which of the following information should the nurse include?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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