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Questions and Answers
A client diagnosed with osteomyelitis reports constant, localized bone pain that worsens with movement. Which of the following nursing interventions is most appropriate for managing this symptom?
A client diagnosed with osteomyelitis reports constant, localized bone pain that worsens with movement. Which of the following nursing interventions is most appropriate for managing this symptom?
- Elevating the affected extremity to promote venous return.
- Applying heat packs to the affected area to reduce inflammation.
- Administering analgesics as prescribed and monitoring their effectiveness. (correct)
- Encouraging active range of motion exercises to improve joint mobility.
Following surgical debridement for osteomyelitis, which assessment finding requires immediate notification of the provider?
Following surgical debridement for osteomyelitis, which assessment finding requires immediate notification of the provider?
- Decreased sensation and movement in the affected extremity. (correct)
- Capillary refill of 3 seconds in the toes of the affected extremity.
- Localized edema at the surgical site.
- Mild serosanguinous drainage from the incision site.
A patient is undergoing hyperbaric oxygen treatments for chronic osteomyelitis. What is the primary goal of this therapy?
A patient is undergoing hyperbaric oxygen treatments for chronic osteomyelitis. What is the primary goal of this therapy?
- To reduce inflammation and edema at the infection site.
- To directly kill the infectious organisms within the bone.
- To prevent the need for surgical debridement.
- To promote healing by increasing oxygen concentration in the affected tissue. (correct)
A client with osteomyelitis is receiving IV antibiotic therapy. Which of the following nursing actions is most important to prevent complications associated with IV antibiotic administration?
A client with osteomyelitis is receiving IV antibiotic therapy. Which of the following nursing actions is most important to prevent complications associated with IV antibiotic administration?
A patient with osteomyelitis is scheduled for a bone scan. What information should the nurse provide to the patient regarding this diagnostic procedure?
A patient with osteomyelitis is scheduled for a bone scan. What information should the nurse provide to the patient regarding this diagnostic procedure?
A client with osteomyelitis develops septicemia. Which assessment finding is most indicative of this complication?
A client with osteomyelitis develops septicemia. Which assessment finding is most indicative of this complication?
A nurse is caring for a client with a wound that is left open to heal following surgical debridement for osteomyelitis. What type of precautions should the nurse implement during dressing changes?
A nurse is caring for a client with a wound that is left open to heal following surgical debridement for osteomyelitis. What type of precautions should the nurse implement during dressing changes?
A patient with chronic osteomyelitis is being discharged home on long-term oral antibiotics. Which of the following instructions is most important for the nurse to emphasize?
A patient with chronic osteomyelitis is being discharged home on long-term oral antibiotics. Which of the following instructions is most important for the nurse to emphasize?
What is the rationale for using antibiotic beads in bone cement for treating osteomyelitis?
What is the rationale for using antibiotic beads in bone cement for treating osteomyelitis?
An older adult client is being evaluated for possible osteomyelitis. Which of the following findings should the nurse recognize as an atypical presentation of this condition in this population?
An older adult client is being evaluated for possible osteomyelitis. Which of the following findings should the nurse recognize as an atypical presentation of this condition in this population?
Flashcards
Osteomyelitis
Osteomyelitis
Infection of the bone, inflammation secondary to infectious organisms following trauma or fracture repair
Osteomyelitis Pain
Osteomyelitis Pain
Constant, pulsating, localized bone pain, worse with movement
Osteomyelitis Site Changes
Osteomyelitis Site Changes
Redness and swelling at the site of infection
Lab Values in Osteomyelitis
Lab Values in Osteomyelitis
Elevated white blood cell count and sedimentation rate
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Osteomyelitis Diagnosis
Osteomyelitis Diagnosis
Radioactive scan to diagnose, MRI can also facilitate a diagnosis.
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Cultures for Osteomyelitis
Cultures for Osteomyelitis
Culturing for aerobic/anaerobic organisms; blood cultures if septicemia develops
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Osteomyelitis Treatment
Osteomyelitis Treatment
Long course (4-6 weeks) of IV/oral antibiotics
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Surgical Debridement
Surgical Debridement
Surgical removal of infected/dead bone tissue.
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Hyperbaric Oxygen
Hyperbaric Oxygen
Can promote healing specifically for chronic osteomyelitis cases.
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Antibiotic Administration
Antibiotic Administration
Constant blood level of antibiotics is needed.
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- Osteomyelitis is a bone infection that starts as inflammation, caused by viruses, bacteria, or fungi entering after trauma or fracture repair
Manifestations
- Constant, pulsating, localized bone pain, worsened by movement is an indicator
- Erythema and edema appear at the infection site
- Fever is present, though older adults may not have elevated temperatures
- Leukocytosis and elevated sedimentation rate
- Many signs disappear if the infection becomes chronic
Diagnostic Procedures
- Bone scans using radioactive material, and MRI can diagnose osteomyelitis
- Cultures detect possible aerobic and anaerobic organisms
- Blood cultures will be positive for offending microbes if septicemia develops
Treatment
- A long course (4-6 weeks minimum) of IV and oral antibiotics
- Surgical debridement can be indicated, and a bone graft might be needed if significant bone removal is required
- Hyperbaric oxygen treatments, which may promote healing in chronic cases
- Surgically implanted antibiotic beads in bone cement are used as a form of antibiotic therapy
- Amputation can result from unsuccessful treatment
Nursing Actions
- Administer antibiotics as prescribed to maintain a constant blood level
- Administer analgesics as needed
- Conduct neurovascular assessments if debridement is done
- Standard precautions are adequate and clean technique can be used during dressing changes if the wound is left open to heal
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