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?
Initiate contact precautions for the child.
Maintain a patent intravenous catheter.
Provide a high-calorie, low-protein diet.
Encourage frequent physical activity to increase bone mass.
The Correct Answer is B
Maintaining a patent intravenous catheter is important for administering antibiotics and other medications to treat osteomyelitis.

Choice A is wrong because contact precautions are not necessary for a child with osteomyelitis.
Choice C is wrong because a high-calorie, low-protein diet is not indicated for a child with osteomyelitis.
Choice D is wrong because frequent physical activity may not be appropriate for a child with osteomyelitis due to pain and inflammation 1.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The first action the nurse should take is to elevate the child’s leg.

This is choice A. Elevating the child’s leg can help reduce swelling and improve circulation.
After elevating the child’s leg, the nurse can then administer pain medication (choice B), petal the edges of the cast (choice C), and teach the child about cast care (choice D).
Correct Answer is D
Explanation
Sudden infant death syndrome (SIDS) death has a devastating effect on parents.

There is no known cause, so parents experience guilt about what they might have done or not done to contribute to the death.
Acknowledging the family members’ feelings of guilt can help provide support to the family.
Choice A is wrong because there are no specific instructions discouraging the parents from allowing siblings to view the body.
Choice B is wrong because avoiding discussing details of the attempt to revive the infant may not necessarily provide support to the family.
Choice C is wrong because while providing a follow-up phone call 1 week following the infant’s death may be helpful, it is not the only action that should be taken by the nurse.
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