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NCLEX Osteomyelitis Exam II Exam Questions With Correct Answers_.pdf
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8/20/24, 9:20 PMNCLEX Osteomyelitis Exam II
Jeremiah
Terms in this set (25)
A patient with acute osteomyelitis of the left ANS: A
femur is hospitalized for regional antibiotic Immobilization of the affected leg helps decrease pain and reduce the risk for
irrigation. Which intervention will be pathologic fractures. Weight-bearing exercise increases the risk for pathologic
included in the initial plan of care? fractures. Flexion of the affected limb is avoided to prevent contractures
a. Immobilization of the left leg
b. Positioning the left leg in flexion
c. Assisted weight-bearing ambulation
d. Quadriceps-setting exercise repetitions
A 50-year-old patient is being discharged ANS: B
after a week of IV antibiotic therapy for acute The patient will be on IV antibiotics for several months, and the patient will need to
osteomyelitis in the right leg. Which recognize signs of infection at the IV site and how to care for the catheter during daily
information will be included in the discharge activities such as bathing. IV antibiotics rather than oral antibiotics are used for acute
teaching? osteomyelitis. Patients are instructed to avoid exercise and heat application because
these will increase swelling and the risk for spreading infection
a. How to apply warm packs to the leg to
reduce pain
b. How to monitor and care for the long-
term IV catheter
c. The need for daily aerobic exercise to help
maintain muscle strength
d. The reason for taking oral antibiotics for 7
to 10 days after discharge
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, 8/20/24, 9:20 PM
A 67-year-old patient is receiving IV ANS: C
antibiotics at home to treat chronic Foot drop is an indication that the foot is not being supported in a neutral position by a
osteomyelitis of the left femur. The nurse splint. Using crutches and monitoring the oral temperature are appropriate self-care
chooses a nursing diagnosis of ineffective activities. Frustration with the length of treatment is not an indicator of ineffective
health maintenance when the nurse finds health maintenance of the osteomyelitis
that the patient
a. is frustrated with the length of treatment
required.
b. takes and records the oral temperature
twice a day.
c. is unable to plantar flex the foot on the
affected side.
d. uses crutches to avoid weight bearing on
the affected leg.
The nurse instructs a patient who has ANS: B
osteosarcoma of the tibia about a scheduled Osteogenic sarcoma may be diagnosed following a fracture, but it is not caused by the
above-the-knee amputation. Which injury. The other patient statements indicate that patient teaching has been effective
statement by a patient indicates that
additional patient teaching is needed?
a. "I will need to participate in physical
therapy after surgery."
b. "I did not have this bone cancer until my
leg broke a week ago."
c. "I wish that I did not have to have
chemotherapy after this surgery."
d. "I can use the patient-controlled analgesia
(PCA) to control postoperative pain."
A 23-year-old patient with a history of ANS: B
muscular dystrophy is hospitalized with Because the goal for the patient with muscular dystrophy is to keep the patient active
pneumonia. Which nursing action will be for as long as possible, assisting the patient to ambulate will be part of the care plan.
included in the plan of care? The patient will not require logrolling. Muscle biopsies are necessary to confirm the
diagnosis but are not necessary for a patient who already has a diagnosis. There is no
a. Logroll the patient every 2 hours. need for genetic testing because the patient already knows the diagnosis
b. Assist the patient with ambulation.
c. Discuss the need for genetic testing with
the patient.
d. Teach the patient about the muscle biopsy
procedure.
An appropriate nursing intervention for a ANS: C
patient who has acute low back pain and Resting with the head elevated and knees flexed will reduce the strain on the back and
muscle spasms is to teach the patient to decrease muscle spasms. Twisting from side to side will increase tension on the lumbar
area. A pillow placed under the upper back will cause strain on the lumbar spine.
a. keep both feet flat on the floor when Alternate application of cold and heat should be used to decrease pain
prolonged standing is required.
b. twist gently from side to side to maintain
range of motion in the spine.
c. keep the head elevated slightly and flex
the knees when resting in bed.
d. avoid the use of cold packs because they
will exacerbate the muscle spasms.
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