A nurse is caring for a client who has acute osteomyelitis. The client asks the nurse to explain how she developed the infection. The nurse should respond that which of the following organisms is the most common cause?

Escherichia coli

Staphylococcus aureus

Pseudomonas aeruginosa

Streptococcus B

Answer and Explanation

The Correct Answer is B

A.   While E. coli is a common cause of urinary tract infections and other gastrointestinal infections, it is not a typical pathogen associated with osteomyelitis.
B.   This bacterium is the most common cause of acute osteomyelitis, especially the methicillin-resistant Staphylococcus aureus (MRSA) strain.
C.   Pseudomonas is more commonly associated with infections in immunocompromised individuals or those with chronic diseases, but it is not a typical cause of acute osteomyelitis.
D.   Group B Streptococcus is not a common cause of acute osteomyelitis.
Staphylococcus aureus, including MRSA, is more frequently implicated in bone infections.

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Correct Answer is D

Explanation

A. The use of an incentive spirometer is more relevant for preventing respiratory complications, not related to the client's low WBC count.
B. Negative-pressure airflow rooms are typically used for clients with airborne infections, not those with low WBC counts.
C. Cooked fruits may be advisable to reduce the risk of bacterial contamination in immunosuppressed clients, but it does not directly address the low WBC count.
D. Reporting temperatures greater than 39.5°C (102.3°F) lasting more than 4 hours is crucial as it may indicate an infection, and prompt intervention is needed in immunosuppressed clients.

A. "I will expect to develop a fever while taking this medicine." B. I should take the medicine on an empty stomach." C. "If I get a rash. I will take my usual antihistamine." D. "I need to drink at least 3 quarts of water a day.

Correct Answer is D

Explanation

A. Fever is not a common side effect of allopurinol.
B. Allopurinol is usually taken with food to minimize gastrointestinal upset.
C. If a rash develops, the client should stop taking allopurinol and notify their healthcare provider rather than self-medicating with an antihistamine.
D. Drinking an adequate amount of water helps prevent kidney stones, a potential side effect of allopurinol.

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A nurse is caring for a client who has acute osteomyelitis. The client asks the nurse to explain how she developed the infection. The nurse should respond that which of the following organisms is the most common cause?

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