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.
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Related Questions
Correct Answer is A
Explanation
Choice A Reason:
"Let me know when you want to take the medication.": This statement offers the child autonomy and control over the situation, allowing them to feel empowered to decide when to take the medication.
Choice B Reason:
"The medication isn't bad. It tastes like candy.": This statement might be misleading, as medications often don't taste like candy. It's important to maintain honesty with children about the taste of medication to build trust.
Choice C Reason:
"The medication will treat your hypersensitivity reaction.": While it's important to explain the purpose of the medication, this statement might not resonate well with a preschooler. Using simpler language and a more relatable explanation might be more effective.
Choice D Reason:
"Sometimes, when a child has to take medication, they feel sad.": This statement acknowledges the child's feelings, but it might inadvertently suggest negative emotions associated with taking medication. Instead, it's often better to use positive and reassuring language.
Correct Answer is A
Explanation
A. Use a 24-gauge catheter to start the IV.A 24-gauge catheter is appropriate for infants due to their smaller veins and the need to minimize trauma. This size allows for adequate fluid and medication administration while reducing the risk of vein damage.
B. Change the IV site every 3 days.IV sites in infants may need to be changed more frequently based on the condition of the site, the type of fluid or medication being administered, and the infant's activity level. The site should be monitored closely for signs of infiltration, phlebitis, or infection, and changed as clinically indicated.
C. Start the IV in the infant's foot.While the foot may be an acceptable site in certain situations, the hands, forearms, or scalp (in younger infants) are often preferred for IV insertion. The foot is less ideal due to the potential for the child to kick or move, increasing the risk of dislodging the IV.
D. Cover the insertion site with an opaque dressing.The insertion site should be covered with a transparent dressing to allow for continuous visualization of the site. This helps in early detection of complications such as infiltration or infection.
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