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."
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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Related Questions
Correct Answer is C
Explanation
A. Use a pillow to prop your arm close to the ear. This instruction would position the arm in abduction, not adduction. Adduction involves bringing the arm closer to the body, not away from it.
B. Position your arm with the shoulder at a 90-degree angle. This would also position the arm in abduction, as a 90-degree angle would place the arm away from the body.
C. Hold the arm against the side of your body. Adduction means bringing the arm closer to the midline of the body, which is achieved by holding the arm against the side.
D. Keep your arm bent at the elbow. This instruction focuses on the elbow rather than the shoulder. Adduction refers to the shoulder's position relative to the body.
Correct Answer is D
Explanation
A. Fat embolism syndrome: Fat embolism syndrome can occur after fractures, particularly long bone fractures, but it typically presents with symptoms such as respiratory distress, petechiae, and neurological symptoms rather than severe pain and tingling in the affected extremity.
B. Osteomyelitis. Osteomyelitis, an infection of the bone, is characterized by localized pain, swelling, and fever but does not usually present immediately with severe pain and tingling following a fracture.
C. Pulmonary embolism. Pulmonary embolism is a blockage in one of the pulmonary arteries in the lungs and presents with chest pain, shortness of breath, and possibly coughing up blood, not localized extremity pain and tingling.
D. Acute compartment syndrome. Acute compartment syndrome is a serious condition that involves increased pressure within a muscle compartment. It can lead to severe pain, tingling, and decreased blood flow, which is consistent with the symptoms described.
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