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Questions and Answers
A client diagnosed with osteomyelitis reports constant, localized bone pain that intensifies with movement. Which of the following nursing interventions is most appropriate for managing this pain?
A client diagnosed with osteomyelitis reports constant, localized bone pain that intensifies with movement. Which of the following nursing interventions is most appropriate for managing this pain?
- Elevate the affected extremity and apply compression bandages.
- Apply ice packs to the affected area for 30 minutes every hour.
- Administer analgesics as prescribed and monitor their effectiveness. (correct)
- Encourage range-of-motion exercises to reduce stiffness.
A patient is undergoing a bone scan for suspected osteomyelitis. Which instruction should the nurse provide to the patient prior to the procedure?
A patient is undergoing a bone scan for suspected osteomyelitis. Which instruction should the nurse provide to the patient prior to the procedure?
- You will need to lie still for several hours during the scan.
- You will receive an injection of radioactive material before the scan. (correct)
- You will be placed in a tube-like machine during the scan.
- You will need to avoid eating or drinking for 24 hours before the scan.
A patient with chronic osteomyelitis is scheduled for hyperbaric oxygen therapy. What is the primary goal of this treatment modality?
A patient with chronic osteomyelitis is scheduled for hyperbaric oxygen therapy. What is the primary goal of this treatment modality?
- To promote healing and tissue regeneration in the affected bone. (correct)
- To directly target and kill the infectious organisms within the bone.
- To provide pain relief by numbing the nerve endings in the affected area.
- To reduce inflammation and edema at the site of infection.
A nurse is caring for a patient with osteomyelitis whose wound is left open to heal. Which infection control measure is most appropriate for dressing changes?
A nurse is caring for a patient with osteomyelitis whose wound is left open to heal. Which infection control measure is most appropriate for dressing changes?
A client with osteomyelitis is undergoing IV antibiotic therapy. Which nursing intervention is crucial to monitor the effectiveness of the antibiotic treatment?
A client with osteomyelitis is undergoing IV antibiotic therapy. Which nursing intervention is crucial to monitor the effectiveness of the antibiotic treatment?
What is the primary rationale for administering antibiotics on a long-term basis (4-6 weeks) for a patient with osteomyelitis?
What is the primary rationale for administering antibiotics on a long-term basis (4-6 weeks) for a patient with osteomyelitis?
A patient with osteomyelitis develops septicemia. What diagnostic finding would the nurse anticipate?
A patient with osteomyelitis develops septicemia. What diagnostic finding would the nurse anticipate?
A patient with osteomyelitis is scheduled for surgical debridement. What is the primary purpose of this procedure?
A patient with osteomyelitis is scheduled for surgical debridement. What is the primary purpose of this procedure?
Following surgical debridement for osteomyelitis, a patient undergoes a neurovascular assessment. Which finding should the nurse report immediately to the health care provider?
Following surgical debridement for osteomyelitis, a patient undergoes a neurovascular assessment. Which finding should the nurse report immediately to the health care provider?
An older adult client is suspected of having osteomyelitis. Which manifestation is least likely to be present in this population compared to younger adults?
An older adult client is suspected of having osteomyelitis. Which manifestation is least likely to be present in this population compared to younger adults?
Flashcards
Osteomyelitis
Osteomyelitis
An infection of the bone, starting as inflammation due to infectious organisms entering after trauma or surgery.
Osteomyelitis Pain
Osteomyelitis Pain
Constant, pulsating, localized bone pain that worsens with movement is a key sign.
Leukocytosis in Osteomyelitis
Leukocytosis in Osteomyelitis
Increased white blood cell count and sedimentation rate, showing the body's response to infection.
Bone Scan in Diagnosis
Bone Scan in Diagnosis
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Osteomyelitis Treatment
Osteomyelitis Treatment
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Surgical Debridement
Surgical Debridement
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Neurovascular Assessments
Neurovascular Assessments
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Pain Management
Pain Management
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Study Notes
- Osteomyelitis is a bone infection that starts as inflammation.
- It is caused by infectious organisms penetrating the bone.
- This often follows trauma or fracture repair.
Manifestations
- Constant, pulsating, localized bone pain that worsens with movement
- Erythema and edema at the infection site
- Fever (though older adults may not always present with elevated temperature)
- Leukocytosis and possible elevated sedimentation rate
- Many manifestations disappear if the infection becomes chronic
Diagnostic Procedures
- Bone scan using radioactive material is used to diagnose.
- MRI can also facilitate a diagnosis.
- Cultures are performed to detect possible aerobic and anaerobic organisms.
- If septicemia develops, blood cultures will be positive for offending microbes.
Treatment
- A long course (at least 4 to 6 weeks) of IV and oral antibiotic therapy required.
- Surgical debridement can be indicated; bone graft might be needed if significant bone removal is required.
- Hyperbaric oxygen treatments can promote healing in chronic cases.
- Surgically implanted antibiotic beads in bone cement can be packed into the wound as a form of antibiotic therapy.
- Unsuccessful treatment can result in amputation.
Nursing Actions
- Administer antibiotics as prescribed to maintain a constant blood level.
- Administer analgesics as needed.
- Conduct neurovascular assessments if debridement is done.
- If the wound is left open to heal, standard precautions are adequate, and clean technique can be used during dressing changes.
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