2024 NCLEX OSTEOMYELITIS
EXAM II WITH 100% CORRECT
ANSWERS
Which action will the nurse take when caring for a patient with osteomalacia?
a. Teach about the use of vitamin D supplements.
b. Educate about the need for weight-bearing exercise.
c. Discuss the use of medications such as bisphosphonates.
d. Emphasize the importance of sunscreen use when outside. - CORRECT
ANSWERS-ANS: A
Osteomalacia is caused by inadequate intake or absorption of vitamin D.
Weight-bearing exercise and bisphosphonate administration may be used for
osteoporosis but will not be beneficial for osteomalacia. Because ultraviolet
light is needed for the body to synthesize vitamin D, the patient might be
taught that 20 minutes/day of sun exposure is beneficial
Which action will the nurse take first when a patient is seen in the outpatient
clinic with neck pain?
a. Provide information about therapeutic neck exercises.
b. Ask about numbness or tingling of the hands and arms.
c. Suggest that the patient alternate the use of heat and cold to the neck to
treat the pain.
d. Teach about the use of nonsteroidal antiinflammatory drugs such as
ibuprofen (Advil). - CORRECT ANSWERS-ANS: B
The nurse's initial action should be further assessment of the pain because
cervical nerve root compression will require different treatment than
musculoskeletal neck pain. The other actions may also be appropriate,
depending on the assessment findings.
A patient with acute osteomyelitis of the left femur is hospitalized for
regional antibiotic irrigation. Which intervention will be included in the initial
plan of care?
a. Immobilization of the left leg
b. Positioning the left leg in flexion
c. Assisted weight-bearing ambulation
d. Quadriceps-setting exercise repetitions - CORRECT ANSWERS-ANS: A
, Immobilization of the affected leg helps decrease pain and reduce the risk for
pathologic fractures. Weight-bearing exercise increases the risk for
pathologic fractures. Flexion of the affected limb is avoided to prevent
contractures
A 50-year-old patient is being discharged after a week of IV antibiotic
therapy for acute osteomyelitis in the right leg. Which information will be
included in the discharge teaching?
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 -
CORRECT ANSWERS-ANS: B
The patient will be on IV antibiotics for several months, and the patient will
need to recognize signs of infection at the IV site and how to care for the
catheter during daily activities such as bathing. IV antibiotics rather than oral
antibiotics are used for acute osteomyelitis. Patients are instructed to avoid
exercise and heat application because these will increase swelling and the
risk for spreading infection
A 67-year-old patient is receiving IV antibiotics at home to treat chronic
osteomyelitis of the left femur. The nurse chooses a nursing diagnosis of
ineffective health maintenance when the nurse finds 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. - CORRECT
ANSWERS-ANS: C
Foot drop 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 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." - CORRECT ANSWERS-ANS: B
EXAM II WITH 100% CORRECT
ANSWERS
Which action will the nurse take when caring for a patient with osteomalacia?
a. Teach about the use of vitamin D supplements.
b. Educate about the need for weight-bearing exercise.
c. Discuss the use of medications such as bisphosphonates.
d. Emphasize the importance of sunscreen use when outside. - CORRECT
ANSWERS-ANS: A
Osteomalacia is caused by inadequate intake or absorption of vitamin D.
Weight-bearing exercise and bisphosphonate administration may be used for
osteoporosis but will not be beneficial for osteomalacia. Because ultraviolet
light is needed for the body to synthesize vitamin D, the patient might be
taught that 20 minutes/day of sun exposure is beneficial
Which action will the nurse take first when a patient is seen in the outpatient
clinic with neck pain?
a. Provide information about therapeutic neck exercises.
b. Ask about numbness or tingling of the hands and arms.
c. Suggest that the patient alternate the use of heat and cold to the neck to
treat the pain.
d. Teach about the use of nonsteroidal antiinflammatory drugs such as
ibuprofen (Advil). - CORRECT ANSWERS-ANS: B
The nurse's initial action should be further assessment of the pain because
cervical nerve root compression will require different treatment than
musculoskeletal neck pain. The other actions may also be appropriate,
depending on the assessment findings.
A patient with acute osteomyelitis of the left femur is hospitalized for
regional antibiotic irrigation. Which intervention will be included in the initial
plan of care?
a. Immobilization of the left leg
b. Positioning the left leg in flexion
c. Assisted weight-bearing ambulation
d. Quadriceps-setting exercise repetitions - CORRECT ANSWERS-ANS: A
, Immobilization of the affected leg helps decrease pain and reduce the risk for
pathologic fractures. Weight-bearing exercise increases the risk for
pathologic fractures. Flexion of the affected limb is avoided to prevent
contractures
A 50-year-old patient is being discharged after a week of IV antibiotic
therapy for acute osteomyelitis in the right leg. Which information will be
included in the discharge teaching?
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 -
CORRECT ANSWERS-ANS: B
The patient will be on IV antibiotics for several months, and the patient will
need to recognize signs of infection at the IV site and how to care for the
catheter during daily activities such as bathing. IV antibiotics rather than oral
antibiotics are used for acute osteomyelitis. Patients are instructed to avoid
exercise and heat application because these will increase swelling and the
risk for spreading infection
A 67-year-old patient is receiving IV antibiotics at home to treat chronic
osteomyelitis of the left femur. The nurse chooses a nursing diagnosis of
ineffective health maintenance when the nurse finds 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. - CORRECT
ANSWERS-ANS: C
Foot drop 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 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." - CORRECT ANSWERS-ANS: B
