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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

The nurse should reassure the parents that febrile seizures typically decrease in frequency as the child grows older. Most children outgrow febrile seizures by the age of 5 years.

Ibuprofen is not typically used prophylactically to prevent febrile seizures.

Providing the child with a sponge bath for temperatures over 100.6°F (38.1° C) can help to lower the fever, but it will not necessarily prevent febrile seizures.

Avoiding excessive visual stimuli is not necessary for children with febrile seizures, as this type of seizure is triggered by a fever rather than visual stimuli.

A. The mother states the baby is irritable during feedings. B. The mother is a single parent and lives with her parents. C. The infant's formula has been changed twice. D. The diaper area shows severe skin breakdown.

Correct Answer is D

Explanation

The most significant finding in planning care for this family is that the infant's diaper area shows severe skin breakdown. Severe skin breakdown in the diaper area can be a sign of diaper rash or other skin irritation, which can cause discomfort and disrupt the infant's sleep. Addressing this issue can help improve the infant's comfort and promote beter sleep. The other options (A, B, and C) may also be relevant, but severe skin breakdown in the diaper area is the most significant finding in this situation.

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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?

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Naxlex Comprehensive Predictor Exams

The parents of a 14-month-old child who is hospitalized due to febrile seizures tell the nurse that they fear their child will have lifelong seizures. Which information should the nurse convey to these parents?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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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?