Which would the nurse assess in a child diagnosed with osteomyelitis? Select all that apply.
Fever
Unwillingness to move affected extremity.
Previous closed fracture of an extremity
Redness and swelling at the site
Severe pain
Correct Answer : A,B,D,E
A. Fever: Osteomyelitis is often associated with fever as it is an infectious process that can cause an elevated body temperature.
B. Unwillingness to move the affected extremity: Children with osteomyelitis may experience pain and discomfort, leading to a reluctance to move the affected limb.
C. A previous closed fracture of an extremity is not typically a direct assessment finding for osteomyelitis. Osteomyelitis is more commonly associated with infections that can spread to the bone, and a previous fracture may not always be present.
D. Redness and swelling at the site: Osteomyelitis can cause local inflammation, leading to redness and swelling at the affected area.
E. Severe pain: Pain is a common symptom of osteomyelitis, and it can be severe, leading to the child's unwillingness to move the affected extremity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Administration of a systemic oral antibiotic and a topical antibiotic may be used, but this option does not address the removal of crusts, which is essential for preventing complications.
B. Administration of a systemic and a topical antifungal is not appropriate for impetigo, as impetigo is caused by bacteria, not fungi.
C. Using an oil-based soap for bathing is not recommended, as it may not effectively remove crusts and pustules associated with impetigo, and it does not have antimicrobial properties necessary for treatment.
D. Removal of crusts with an antimicrobial liquid.
Impetigo is a contagious bacterial skin infection, typically caused by Staphylococcus aureus or Streptococcus pyogenes. It often presents with crusts and pustules on the skin. To prevent complications, it's important to keep the affected areas clean and free from crusts. Gently removing crusts with an antimicrobial liquid and clean cloth helps prevent the spread of infection, allows topical antibiotics to work effectively, and reduces the risk of complications.
Correct Answer is ["B","C"]
Explanation
Iron-rich foods that should be recommended for a toddler with iron deficiency anemia include:
B. Chicken: Chicken, especially dark meat, is a good source of heme iron, which is easily absorbed by the body.
C. Lean Steak: Lean beef, such as steak, is also a good source of heme iron.
Non-heme iron from plant-based sources is also beneficial but is generally less easily absorbed. So, the following options are non-heme iron sources:
A. Broccoli: While broccoli contains iron, it is a non-heme iron source. It can still contribute to iron intake, but it's not as efficient as heme iron from animal sources.
D. Carrots: Similar to broccoli, carrots contain non-heme iron, but they can be part of a balanced diet for increasing iron intake.
E. Whole Milk: Whole milk can interfere with iron absorption in the body. It's not recommended for children with iron deficiency anemia, as it can make the condition worse. It's better to choose lower-fat milk or alternative milk sources.
Additionally, other sources of iron-rich foods for toddlers can include fortified cereals, legumes (like lentils and beans), and fortified infant formulas if needed. Always consult with a healthcare provider for specific dietary recommendations based on the child's condition.
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