Which medical condition increases the risk of osteomyelitis?

Diabetes

Osteogenesis imperfecta

Cancer

Osteoporosis

Answer and Explanation

The Correct Answer is A

A. Diabetes: Diabetes increases the risk of osteomyelitis because high blood sugar levels can impair circulation, immune response, and wound healing, making infections more likely to develop and harder to treat.
B. Osteogenesis imperfecta: Osteogenesis imperfecta primarily affects bone fragility and does not directly increase the risk of osteomyelitis.
C. Cancer: Cancer can affect the bones and immune system, but it is not as directly linked to an increased risk of osteomyelitis as diabetes is.
D. Osteoporosis: Osteoporosis affects bone density and strength, making bones more prone to fractures, but it does not directly increase the risk of bone infection (osteomyelitis).

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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.

A. Providing a caring and supportive attitude during a challenging time B. Monitoring pin and wound sites for signs of infection C. Being aware that the patient may experience issues with body image D. Helping the patient achieve a desired level of mobility

Correct Answer is B

Explanation

A. Providing a caring and supportive attitude during a challenging time: While emotional support is crucial and beneficial for the patient's overall well-being and recovery, it is not the primary focus when dealing with external fixation and the risk of complications.

B. Monitoring pin and wound sites for signs of infection: Infection is a significant risk with external fixation devices, and early detection is critical to prevent severe complications such as osteomyelitis. This makes monitoring for infection the most important focus.

C. Being aware that the patient may experience issues with body image: Body image concerns are valid and can affect a patient’s mental health, but they are secondary to the physical risks associated with external fixation, such as infection.

D. Helping the patient achieve a desired level of mobility: Mobility is an important goal in the patient's rehabilitation, but ensuring the prevention of infection takes precedence because an infection can severely impact overall recovery.

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Which medical condition increases the risk of osteomyelitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative following shoulder surgery. The client has a prescription to keep the affected arm adducted. Which of the following instructions should the nurse provide the client?

Correct Answer is C

Explanation

The nurse is caring for a patient with external fixation for a fracture involving severe bone damage. Which is the most important focus for the nurse during care of this patient?

Correct Answer is B

Explanation

A nurse is preparing to administer clindamycin palmitate 225 mg PO to a client. Available is clindamycin palmitate oral suspension 75 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse at an urgent care center is reinforcing information with a new employee about the difference between sprains and strains. Which of the following examples should the nurse include as a cause of sprain injury?

A nurse is reviewing the treatment for an ankle fracture. Which of the following is a treatment option for fractures?

A nurse is collecting data from a client who has multiple fractures in his left leg and reports severe pain and tingling in the extremity. The nurse should suspect which of the following complications?

A patient sustains a closed femur fracture of the right tibia and is placed in a long leg plaster cast, which is still damp. Which of the following methods should the nurse use to move the cast to prevent complications?

A client returns to the surgical unit from the PACU in skeletal traction. The nurse should take this action to correct which of the following problems with the traction setup?

A nurse is collecting data from a client that is 48 hours post-operative following and open reduction and internal fixation of a fractured tibia. Which of the following findings should the nurse report to the provider?

A nurse is assisting a client who is 2 days postoperative following a total hip arthroplasty to walk to a chair. When the nurse offers to help the client ambulate, the client refuses to get out of bed. Which of the following actions should the nurse take?