What findings on assessment would indicate to the nurse that a client has developed osteomyelitis 10 weeks after a right shoulder arthroplasty? (Select All that Apply.)

Bradycardia

Chills

Elevated temperature of 102 degrees F.

Difficulty breathing.

Client complaining of increasing pain in shoulder with movement.

Answer and Explanation

Correct Answer : B,C,E

A.   Bradycardia (a slow heart rate) is not a typical sign of osteomyelitis. Instead, infections often cause tachycardia (increased heart rate) due to the body's response to fever and inflammation. Therefore, this finding would not indicate osteomyelitis.
B.   Chills can be a sign of infection, including osteomyelitis. They often occur as a result of the body trying to regulate temperature in response to fever. The presence of chills would raise suspicion of an underlying infection.
C.   An elevated temperature, particularly above normal (typically defined as over 100.4 degrees F), is a classic sign of infection. A temperature of 102 degrees F suggests that the body is fighting an infection, which could indicate osteomyelitis.
D.   Difficulty breathing is not a direct symptom of osteomyelitis and may indicate other conditions such as respiratory issues or complications unrelated to the shoulder infection. Therefore, this finding is not typically associated with osteomyelitis.
E.   Increased pain in the affected area, especially with movement, can indicate inflammation or infection. In the case of osteomyelitis, localized pain at the site of infection is a common symptom.

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Correct Answer is D

Explanation

A. While using an incentive spirometer is important in promoting lung expansion and preventing respiratory complications, it is not directly related to the administration of acyclovir. This intervention is typically more relevant for patients at risk of respiratory issues.
B. A high-carbohydrate diet is not a specific recommendation related to acyclovir administration. While nutrition is important for overall health, this intervention does not address the key concerns associated with the use of acyclovir.
C. While activity levels may need to be monitored based on the patient's overall condition, limiting activity is not a primary concern with acyclovir. The medication itself does not usually require significant restrictions on physical activity unless the patient has other conditions that warrant it.
D. Acyclovir can be nephrotoxic, especially when given intravenously, and maintaining adequate hydration helps prevent kidney damage. Encouraging fluids ensures that the kidneys can effectively excrete the medication and reduces the risk of crystallization in the renal tubules.

A. The spouse washes their hands frequently with soap and water. B. The spouse drinks electrolyte solution. C. The spouse prepares lunch for the client. D. The spouse uses a separate tube of toothpaste.

Correct Answer is C

Explanation

A. Frequent handwashing is critical in preventing the spread of infections, especially when one person in the household is ill with gastroenteritis. This practice indicates good hygiene and care for the client.
B. Drinking an electrolyte solution can help the spouse stay hydrated, especially when experiencing frequent loose stools due to gastroenteritis. Staying hydrated is essential for recovery.
C. If the spouse is actively preparing food for the client while having gastroenteritis, there is a risk of contaminating the food, which could lead to the client becoming ill. The client may be more vulnerable to infections, particularly following a stroke, and it is crucial to prevent exposure to any pathogens.
D. This observation is a good practice as it helps prevent the spread of germs. Using separate personal items, like a toothbrush and toothpaste, can minimize the risk of transmitting infections.

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What findings on assessment would indicate to the nurse that a client has developed osteomyelitis 10 weeks after a right shoulder arthroplasty? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention is most critical during the administration of acyclovir?

Correct Answer is D

Explanation

The nurse makes a home care visit to a client with a diagnosis of right sided stroke. The client's spouse reports that she was recently diagnosed with gastroenteritis and is having frequent loose stools. The nurse is most concerned with which observation?

Correct Answer is C

Explanation

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