The nurse is providing teaching to a school-age child with left femoral osteomyelitis and the child's parent prior to discharge.
Which instruction should the nurse provide related to the initial phase of treatment?
Administer topical antibiotic therapy daily.
Provide passive range of motion exercises.
Ensure no weight bearing on the affected extremity.
Schedule ice pack applications to the infected area.
The Correct Answer is C
During the initial phase of treatment for osteomyelitis, the nurse should instruct the child and parent to ensure that there is no weight bearing on the affected extremity. This may require the use of assistive devices such as crutches or a wheelchair. Administering topical antibiotic therapy, providing passive range of motion exercises, and scheduling ice pack applications to the infected area are not appropriate interventions during the initial phase of treatment.
Topical antibiotics may be used later in the course of treatment, after the initial phase of intravenous antibiotics has been completed.
Passive range of motion exercises may be appropriate during the later phases of treatment to prevent joint contractures.
Ice pack applications may be appropriate for pain relief, but they are not a primary intervention for osteomyelitis.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
At the age of 3, children should be able to speak in simple sentences with a minimum of four words. This is a normal developmental milestone for this age group. Choices B, C, and D are not appropriate developmental milestones for speech and language skills for a 3-year-old child.
Correct Answer is B
Explanation
Information about the child's reactions to any previous hospitalizations would be particularly helpful in planning care for this six-year-old girl who is being admited for repair of an umbilical hernia. This information can help the nurse anticipate and address any fears or concerns the child may have about the hospitalization and procedure.
A list of achievement timeline for developmental milestones is not particularly relevant in this situation.
A history of rubella, rubeola, or chicken pox is not particularly relevant in this situation.
Information about the mother's use of alcohol, drugs, or cigaretes during pregnancy is not particularly relevant in this situation.

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