A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care?
Encourage frequent physical activity to increase bone mass.
Provide a high-calorie, low-protein diet
Initiate contact precautions for the child.
Maintain a patent intravenous catheter.
The Correct Answer is D
Choice A Reason:
Encourage frequent physical activity to increase bone mass: While physical activity is generally beneficial for overall health, in the case of osteomyelitis, encouraging excessive or frequent physical activity might exacerbate pain, discomfort, and the risk of further bone injury. Controlled and appropriate physical activity may be recommended, but it should be individualized based on the child's condition and the affected area.
Choice B Reason:
Provide a high-calorie, low-protein diet: In osteomyelitis, a balanced and nutritious diet is important to support the child's overall health and aid in recovery. However, a high-calorie, low-protein diet would not be suitable for combating infection or supporting healing. Adequate protein intake is essential for tissue repair and immune function.
Choice C Reason:
Initiate contact precautions for the child: Osteomyelitis is not typically transmitted from person to person. It's an infection within the bone that doesn't require contact precautions for prevention of spread among individuals. Treatment primarily involves antibiotics and sometimes surgical drainage, but it doesn't necessitate isolation precautions.
Choice D Reason:
Maintain a patent intravenous catheter: Antibiotics are the mainstay of treatment for osteomyelitis, and they are usually administered intravenously for an extended period to effectively eradicate the infection. Maintaining a patent intravenous catheter ensures continuous access for medication administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Steatorrhea is correct. Cystic fibrosis (CF) can lead to issues with digestion and absorption of nutrients due to problems with pancreatic enzymes. Steatorrhea, which is the passage of foul-smelling, fatty stools, is a common symptom in individuals with CF due to pancreatic insufficiency. It occurs because the body cannot properly digest and absorb fats, resulting in their presence in the stool.
Choice B Reason:
Weight gain is incorrect. Typically, children with CF might have difficulty gaining weight due to malabsorption issues, despite having a good appetite.
Choice C Reason:
Rhinorrhea is incorrect. While respiratory symptoms like chronic cough and recurrent infections are common in CF due to thick mucus production, rhinorrhea (runny nose) might not be a prominent feature directly associated with CF.
Choice D Reason:
Visible peristalsis is incorrect. This refers to the visible movement of the intestines through the abdomen, which is not typically associated with CF. CF primarily affects the respiratory and digestive systems, and visible peristalsis is not a common finding specifically related to CF.
Correct Answer is C
Explanation
Choice AReason:
Chocolate milk is incorrect. Similar to ice cream, chocolate milk is dairy-based and may have a thicker consistency, potentially causing discomfort or irritation to the throat.
Choice B Reason:
Sugar-free cherry gelatin-Avoid red, purple, or brown liquids, which simulate the appearance of blood if the child vomits.
Choice CReason:
Although the flavor might be a bit acidic, lime-flavored ice pops are generally clear or light in color and less likely to obscure bleeding. They are also soothing and can help with hydration
Choice D Reason:
Vanilla ice cream is incorrect. While ice cream might seem soothing, it's dairy-based and can coat the throat, potentially causing discomfort or mucus production, which may not be ideal for the healing process.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today