Nokea
You have been caring for a patient with osteomyelitis. In preparing the patient for discharge, you include teaching about
- A. The importance of completing the multiple-week treatment with antibiotics.
- B. The side effects and interactions of the medications.
- C. Symptoms that necessitate a call to the physician, nurse practitioner, or physician assistant.
- D. All of the above.
Correct Answer: D
Rationale: All aspects mentioned are crucial for effective post-discharge care and prevention of complications.
You may also like to solve these questions
A 58-year-old female, accompanied by her husband, presents with trouble walking. She describes her legs as being heavy and stiff, and at times experiences muscle spasms in her lower extremities. Her husband notices that she has been having trouble writing, and buttoning her shirt. These symptoms have progressively worsened over that past 4-5 months. Neurologic exam is significant for intrinsic hand weakness, and arm fasciculations. The lower extremity is hypertonic, with increased patellar reflexes. On gait testing, the patient has poor balance, moves slowly, and has issues with turning. Which of the following is the best treatment to prolong life?
- A. Pyridostigmine
- B. Botulinum toxin
- C. Prednisone
- D. Riluzole
Correct Answer: D
Rationale: Riluzole is the only FDA-approved medication shown to prolong life in patients with amyotrophic lateral sclerosis (ALS). It works by reducing glutamate-induced excitotoxicity, which is thought to contribute to motor neuron degeneration. Pyridostigmine is used for myasthenia gravis, botulinum toxin for spasticity, prednisone for inflammatory conditions, and intravenous immunoglobulin for autoimmune disorders. None of these treatments have been shown to prolong life in ALS.
Which type of bone tumor is a benign overgrowth of bone and cartilage and may transform into a malignant form?
- A. Endochroma
- B. Osteoclastoma
- C. Ewing's sarcoma
- D. Osteochondroma
Correct Answer: D
Rationale: Osteochondromas are benign but can become malignant.
A nurse assessing a patient diagnosed with a somatic system disorder is most likely to note that the patient:
- A. readily sees a relationship between symptoms and interpersonal conflicts.
- B. rarely derives personal benefit from the symptoms.
- C. has little difficulty communicating emotional needs.
- D. has unmet needs related to comfort and activity.
Correct Answer: D
Rationale: The correct answer is D because patients with somatic system disorders often have unmet needs related to comfort and activity. These patients may focus on physical symptoms to express underlying emotional distress or seek attention. Choice A is incorrect because patients with somatic disorders often struggle to see a relationship between symptoms and psychological conflicts. Choice B is incorrect because patients with somatic disorders may derive secondary gain from their symptoms. Choice C is incorrect because patients with somatic disorders often have difficulty expressing emotional needs.
There are _____ ventricles in the brain.
- B. 1
- C. 2
- D. 4
Correct Answer: D
Rationale: There are four ventricles in the brain: two lateral ventricles, the third ventricle, and the fourth ventricle. These ventricles are filled with cerebrospinal fluid (CSF), which cushions the brain and spinal cord.
The 45-year-old client is diagnosed with primary progressive multiple sclerosis and the nurse writes the nursing diagnosis 'anticipatory grieving related to progressive loss.' Which intervention should be implemented?
- A. Consult the physical therapist for assistive devices for mobility.
- B. Determine if the client has a legal power of attorney.
- C. Ask if the client would like to talk to the hospital chaplain.
- D. Discuss the client's wishes regarding end-of-life care.
Correct Answer: D
Rationale: Discussing end-of-life care is crucial for clients with progressive diseases like MS, as it helps them plan for the future and express their wishes.