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Lewis Medical Surgical Nursing Chap 68: Musculoskeletal Problems. Exam Questions And Correct Answers $10.49   Add to cart

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Lewis Medical Surgical Nursing Chap 68: Musculoskeletal Problems. Exam Questions And Correct Answers

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  • Medical Surgical Nursing

©SIRJOEL EXAM SOLUTIONS 10/14/2024 11:14 PM Lewis Medical Surgical Nursing Chap 68: Musculoskeletal Problems. Exam Questions And Correct Answers A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic irrigation. Which intervention would the nurse include...

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  • October 18, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Medical Surgical nursing
  • Medical Surgical nursing
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM


Lewis Medical Surgical Nursing Chap 68:
Musculoskeletal Problems. Exam Questions
And Correct Answers




A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic

irrigation. Which intervention would the nurse include in the initial plan of care?

a. Quadriceps-setting exercises

b. Immobilization of the left leg

c. Positioning the left leg in flexion


d. Assisted weight-bearing ambulation - answer✔ANS: B Immobilization of the affected leg

helps to decrease pain and reduce the risk for pathologic fracture. Weight-bearing exercise

increases the risk for pathologic fractures and is not recommended until the infection is treated.

Muscle contractions with exercises may lead to muscle spasms, causing pain, but will be used

after the infection is resolved. Flexion of the affected limb is avoided to prevent contractures.

A patient is being discharged after 1 week of IV antibiotic therapy for osteomyelitis in the right

leg. Which information would the nurse include in the discharge teaching?

a. How to administer prescribed antibiotics at home

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
b. How to apply warm packs to the leg to reduce pain

c. The need for daily aerobic exercise to maintain muscle strength


d. The need to stop taking the antibiotics when the leg pain decreases - answer✔ANS: A Most

patients start on IV antibiotics then switch to oral therapy; the patient will be taking antibiotics

for several months and should not stop when the pain decreases. Patients are instructed to avoid

exercise and heat application because these will increase swelling and the risk for spreading

infection.

A patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the left femur.

Which statement by the patient would indicate to the nurse the need for additional teaching

related to health maintenance?

a. ―I take my oral temperature twice a day.‖

b. ―I'm frustrated with this endless treatment!‖

c. ―I think my left foot is starting to droop down.‖


d. ―I use crutches to avoid bearing weight on the left leg.‖ - answer✔ANS: C Footdrop is an

indication that the foot is not being supported in a neutral position by a splint. Using crutches and

monitoring the oral temperature are appropriate self-care activities. Frustration with the length of

treatment is not an indicator of ineffective health maintenance of the osteomyelitis.

The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-knee

amputation. Which patient statement indicates to the nurse that additional teaching is needed?

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