The nurse is teaching a school-age child with left femoral osteomyelitis and the child’s parent before discharge. What instruction should the nurse give related to the initial phase of treatment?

Ensure no weight bearing on the affected extremity

Administer topical antibiotic therapy daily

Schedule ice pack applications to the infected area

Provide passive range of motion exercises

Answer and Explanation

The Correct Answer is A

Choice A rationale
The initial phase of treatment for a school-age child with left femoral osteomyelitis involves ensuring no weight-bearing on the affected extremity. This is crucial because weight bearing can exacerbate the condition and cause further damage to the bone. The child should be encouraged to rest and avoid activities that put pressure on the affected limb. This measure, combined with appropriate antibiotic therapy, helps to control the infection and prevent complications.
Choice B rationale
Administering topical antibiotic therapy daily is not typically the primary mode of treatment for osteomyelitis. Osteomyelitis is a deep bone infection, and topical antibiotics may not reach the site of infection effectively. Instead, systemic antibiotics are usually administered intravenously, especially in the initial phase of treatment.
Choice C rationale
Scheduling ice pack applications to the infected area is not a standard treatment for osteomyelitis. While ice packs can help reduce inflammation and pain in some conditions, they are not typically used in the management of osteomyelitis. The primary treatment for osteomyelitis is antibiotic therapy.
Choice D rationale
Providing a passive range of motion exercises is not typically part of the initial phase of treatment for osteomyelitis. While physical therapy and exercises can be beneficial in the recovery phase to restore function and mobility, they are not usually recommended in the initial phase when the infection is active and the bone is inflamed.

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Correct Answer is C

Explanation

The correct answer is: C

Choice A reason: Comparing the child’s vital signs over the past three weeks could provide data on any changes in his physical health status. However, without additional context, this information alone may not be sufficient to determine the cause of his symptoms. Vital signs are typically within the following ranges for a healthy 10-year-old: temperature 97.8°F to 99.1°F (36.5°C to 37.3°C), pulse 70 to 110 beats per minute, respirations 17 to 22 breaths per minute, and blood pressure 90/60 mmHg to 120/80 mmHg.

Choice B reason: Counseling the parents to pay more attention to the child might be helpful if the child’s symptoms are due to emotional neglect or lack of parental involvement. However, this intervention assumes that the parents are not attentive without evidence and does not directly address the child’s reported symptoms.

Choice C reason: Asking the boy to describe a typical day at school is a non-invasive way to gather more information about potential stressors or issues that could be contributing to his symptoms. This approach can help identify if the symptoms are related to school environment, bullying, academic pressure, or other psychosocial factors.

Choice D reason: Conducting a complete neurological assessment would be appropriate if there were specific indications of neurological issues. Since the boy’s symptoms are non-specific and could be related to a variety of causes, including stress or anxiety, a neurological assessment might not be the most immediate step without further evidence suggesting a neurological cause.

A. Chickenpox. B. Mumps. C. Sore throat. D. Influenza.

Correct Answer is C

Explanation

Choice A rationale
Chickenpox is a viral infection that can cause a fever and rash. However, it is not typically associated with the development of acute rheumatic fever. Acute rheumatic fever is an inflammatory disease that can develop when strep throat or scarlet fever isn’t properly treated.
Choice B rationale
Mumps is a viral infection that causes swelling of the salivary glands. Like chickenpox, it is not typically associated with the development of acute rheumatic fever.
Choice C rationale
A recent history of sore throat is significant because acute rheumatic fever can develop as a complication of an untreated strep throat infection. Strep throat is caused by group A Streptococcus bacteria, which can trigger an immune response leading to rheumatic fever if not treated properly.
Choice D rationale
Influenza, or the flu, is a viral infection that can cause a range of symptoms, including fever, cough, and body aches. However, it is not typically associated with the development of acute rheumatic fever.

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The nurse is teaching a school-age child with left femoral osteomyelitis and the child’s parent before discharge. What instruction should the nurse give related to the initial phase of treatment?

Nursing Test Bank

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