HESI MED SURG GUIDE Correct Questions & Answers with Rationales

HESI MED SURG GUIDE Correct Questions & Answers with Rationales Ch64 Questions 1. The nurse is caring for patients in a primary care clinic. Which individual is most at risk to develop osteomyelitis caused by Staphylococcus aureus? 1. 22-year-old female with gonorrhea who is an IV drug user 2. 48-year-old male with muscular dystrophy and acute bronchitis 3. 32-year-old male with type 1 diabetes mellitus and a stage IV pressure ulcer Correct 4. 68-year-old female with hypertension who had a knee arthroplasty 3 years ago Osteomyelitis caused by Staphylococcus aureus is usually associated with a pressure ulcer or vascular insufficiency related to diabetes mellitus. Osteomyelitis caused by Staphylococcus epidermidis is usually associated with indwelling prosthetic devices such as joint replacements. Osteomyelitis caused by Neisseria gonorrhoeae is usually associated with gonorrhea. Osteomyelitis caused by Pseudomonas is usually associated with IV drug use. Muscular dystrophy is not associated with osteomyelitis. 2. The nurse cares for a 58-year-old woman with breast cancer who is admitted for severe back pain related to a compression fracture. The patient’s laboratory values include serum potassium of 4.5 mEq/L, serum sodium of 144 mEq/L, and serum calcium of 14.3 mg/dL. Which signs and symptoms will the nurse expect the patient to exhibit? A. Anxiety, irregular pulse, and weakness B. Muscle stiffness, dysphagia, and dyspnea C. Hyperactive reflexes, tremors, and seizures D. Nausea, vomiting, and altered mental status Correct