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Exam (elaborations)

Osteomyelitis Exam 2 Questions With Correct Answers..

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OSTEOMYELITIS EXAM 2 QUESTIONS WITH CORRECT ANSWERS

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An 80-year-old man in a long-term care facility has a chronic leg ulcer and states that
the area has become increasingly painful in recent days. The nurse notes that the site
is now swollen and warm to the touch. The patient should undergo diagnostic testing
for what health problem?


Osteomalacia
Osteomyelitis
Septicarthritis
Osteoporosis


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, Ans: Osteomyelitis
Feedback:When osteomyelitis develops from the spread of an adjacent
infection, no signs of septicemia are present, but the area becomes
swollen, warm, painful, and tender to touch. Osteoporosis is the most
prevalent bone disease in the world. Osteomalacia is a metabolic bone
disease characterized by inadequate mineralization of bone. Septicarthritis
occurs when joints become infected through spread of infection from
other parts of the body (hematogenous spread) or directly through trauma
or surgical instrumentation.




The nurse is caring for the client with chronic osteomyelitis of the jaw with a draining
wound. Which nursing diagnosis is appropriate for the client? Select all that apply


- Acute pain
- Disturbed body image
- Hair loss
- Loss of appetite
- Imbalanced nutrition: less than body requirements


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• Acute pain• Disturbed body image• Imbalanced nutrition: less than body
requirements




An immunocompromised patient in a critical care setting has developed a respiratory
infection that has been attributed to methicillin-resistant Staphylococcus aureus
(MRSA). The nurse should anticipate that the patient will require treatment with


Clindamycin
Vancomycin
Ceftriaxone
Tylenol

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Vancomycin




A 49-year-old man with a history of poorly controlled type 1 diabetes has developed
osteomyelitis adjacent to a chronic diabetic ulcer on his great toe. The patient has
been informed that medical treatment for osteomyelitis requires a longer course of
antibiotics than most other infections because:
1- Osteomyelitis is usually caused by simultaneous infection with several
microorganisms, which must be treated sequentially.
2- Osteomyelitis requires treatment with topical antibiotics rather than IV antibiotics,
necessitating a longer course of treatment.
3- Osteomyelitis is usually the result of fungal infection rather than bacterial infection.
4- Osteomyelitis involves the active infection of bone tissue, which is largely
avascular.


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4- Osteomyelitis involves the active infection of bone tissue, which is
largely avascular.




A nurse is planning discharge instructions for the client with osteomyelitis. What
instructions should the nurse include in the discharge teaching?


"You need to perform weight-bearing exercises twice a week."
"You need to limit the amount of protein and calcium in your diet."
"Use your continuous passive motion machine for 2 hours each day."
"You will receive IV antibiotics for 3 to 6 weeks."


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