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 ["D","E"]
Explanation
Choice A Reason:
Heat the formula to 39°C (102°F) prior to administration. Formula temperature should be warm, but heating it to a specific temperature like 39°C (102°F) is not typically necessary. Room temperature or slightly warm formula is often suitable.
Choice B Reason:
The supine position (lying flat on the back) is not recommended during enteral feedings. Infant should be placedin a semi-upright position (usually around 30 to 45 degrees)- this helps prevent aspiration and aids in proper digestion and passage of the feeding into the stomach.
Choice C Reason:
Offer the infant a pacifier during feedings. Offering a pacifier during enteral feedings could potentially interfere with the feeding process and may increase the risk of aspiration. It's generally not recommended during tube feedings.
Choice D Reason:
Instill the formula over a period of 30 to 45 minutes. Slowly administering the formula over this duration allows for proper digestion and reduces the risk of feeding-related complications.
Choice E Reason:
Check for residual volumes by aspirating stomach contents. Checking for residual volumes helps ensure the stomach is adequately emptying and can help prevent complications such as aspiration or feeding intolerance.
Correct Answer is B
Explanation
Choice A Reason:
Insert an IV catheter for the toddler. While establishing IV access is important for administering medications and fluids, in this scenario, securing the airway takes precedence due to the immediate threat to the child's ability to breathe. Intubation to ensure a clear airway and adequate oxygenation is more critical at this moment.
Choice B Reason:
Prepare the toddler for nasotracheal intubation. These symptoms—hyperpyrexia, severe dyspnea, and drooling—can be indicative of epiglottitis, a potentially life-threatening condition where the airway can become severely compromised due to swelling of the epiglottis. Immediate intervention to secure the airway is crucial in such cases to ensure the child can breathe adequately.
While obtaining an IV catheter, blood culture, and administering antibiotics are important in managing the condition, securing the airway takes precedence in this critical situation to maintain the child's breathing and prevent further respiratory compromise.
Choice C Reason:
Obtain a blood culture from the toddler. Obtaining a blood culture is an essential diagnostic step in identifying potential infections or causes but is not the immediate priority when a child is experiencing severe respiratory distress. Stabilizing the airway and breathing take precedence in this critical situation.
Choice D Reason:
Administer an antibiotic to the toddler. Administering antibiotics might be part of the treatment plan, especially if an infection is suspected, but in an emergent situation where the airway is compromised, securing the airway is the primary concern to ensure the child's ability to breathe and maintain oxygenation.
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