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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Recognizing most letters and numbers is a skill that typically develops later in childhood, not at 3 years old.
Choice B rationale
Using 1-word sentences is a skill that is typically mastered by 2 years old. A 3-year-old child is usually able to speak in longer sentences.
Choice C rationale
Speaking in simple sentences with four or more words is a normal developmental milestone for a 3-year-old child.
Choice D rationale
Using gestures with 1 to 2-word sentences is a skill that is typically mastered by 2 years old. A 3-year-old child is usually able to speak in longer sentences.
Correct Answer is B
Explanation
Choice A rationale
Seeing spots is not a typical symptom of low blood sugar (hypoglycemia), which is a common concern for individuals with Type 1 diabetes. Seeing spots could be related to other health issues, such as eye conditions or neurological problems.
Choice B rationale
Profuse perspiration is a common symptom of hypoglycemia. When blood sugar levels drop, the body produces excess adrenaline, leading to sweating. Consuming a source of sugar would help to raise blood sugar levels and alleviate this symptom.
Choice C rationale
A racing pulse is not a specific symptom of hypoglycemia. It could be related to various conditions, including anxiety, dehydration, or heart conditions.
Choice D rationale
Excessive thirst is typically a symptom of high blood sugar (hyperglycemia), not low blood sugar. Consuming sugar when blood sugar levels are already high could potentially worsen the condition.
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