A client is admitted to the hospital with suspected osteomyelitis in the right foot. Which of the following nursing interventions should be the priority for this client?
- A. Administering analgesics as needed for pain relief
- B. Applying ice packs to the affected foot
- C. Initiating intravenous antibiotic therapy as prescribed
- D. Assisting with range of motion exercises for the unaffected limbs
Correct Answer: C
Rationale: Intravenous antibiotics are the priority in osteomyelitis to address the underlying infection and prevent further bone damage.
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The nurse has just completed a continuing education lecture regarding the human immunodeficiency virus (HIV). Which of the following statements by the nurse indicate correct understanding? Select all that apply.
- A. I will clean contaminated surfaces with soap and hot water.
- B. The goal of treatment is for the client's viral load to increase and CD4 cells to decrease.
- C. Pre-exposure prophylaxis (PREP) is available to those with risk factors for HIV.
- D. Vertical transmission (mother to fetus) may be reduced with the use of antiretrovirals.
- E. It is possible to spread the infection through contaminated water.
Correct Answer: C,D
Rationale: Pre-exposure prophylaxis (PrEP) is effective for high-risk individuals, and antiretrovirals reduce vertical transmission. HIV is not spread through water, and the treatment goal is to decrease viral load and increase CD4 cells.
The nurse is assessing a female client with syphilis. Which assessment finding would support this diagnosis?
- A. Dysuria
- B. Vaginal discharge
- C. Chancre lesion
- D. Dyspareunia
Correct Answer: C
Rationale: A chancre lesion is a hallmark sign of primary syphilis, appearing as a painless ulcer at the infection site.
The nurse is conducting a continuing education course on hepatitis B. It would be appropriate for the nurse to identify which complications are associated with hepatitis B? Select all that apply.
- A. hypertension
- B. hepatocellular carcinoma
- C. liver cirrhosis
- D. ascites
- E. thrombocytopenia
Correct Answer: B,C,D,E
Rationale: Hepatitis B can lead to hepatocellular carcinoma, liver cirrhosis, ascites, and thrombocytopenia due to chronic liver damage.
The following scenario applies to the next 1 items
The nurse is caring for a client with human immunodeficiency virus (HIV)
Item 1 of 1
Nurses Note
Medications
23-year-old client following up after initiating antiretrovirals for newly diagnosed HIV infection. The client reports nausea and vomiting if he does not take the medication with meals. He recently joined a support group to help with his coping. His laboratory results are pending. The client reports full adherence to the prescribed medication-reinforced education on the medication, dosing, and side effects
The client should be taught that the overall treatment goal for HIV is to
- A. increase the CD4/CD8 count
- B. raise the level of folic acid
- C. increase production of hemoglobin
- D. lower the viral load (VL)
Correct Answer: A,D
Rationale: The primary goals of HIV treatment are to increase CD4 counts (improving immune function) and lower the viral load to undetectable levels to prevent disease progression.
The nurse has attended a staff education program about caring for clients with acute osteomyelitis. Which of the following statements by the nurse would indicate a correct understanding of the teaching?
- A. IV antibiotic therapy is typically given for seven to fourteen days.
- B. The most common cause of acute osteomyelitis is a virus.
- C. A significant fever is typically greater than 101°F (38.3°C).
- D. Petechiae on the affected extremity is a common finding.
Correct Answer: C
Rationale: A fever greater than 101°F is a common finding in acute osteomyelitis due to the inflammatory response.
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