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A client with acute osteomyelitis has undergone surgical debridement of the diseased bone
and asks the nurse how long will antibiotics have to be administered. Which information
should the nurse communicate?
A. Oral antibiotics for 2 to 4 months, then for dental procedure prophylaxis.
B. Parenteral antibiotics for 4 to 6 weeks, then oral antibiotics for up to 1 year.
C. Parenteral antibiotics for 4 to 8 weeks, then oral antibiotics for 4 to 8 weeks.
Parenteral antibiotics for 2 to 3 weeks, then oral antibiotics for 4 weeks
C
Treatment of acute osteomyelitis requires the administration of high doses of parenteral
antibiotics for 4 to 8 weeks, followed by oral antibiotics for another 4 to 8 weeks
In planning care for a client with an acute stroke resulting in right-sided hemiplegia, which
positioning should the nurse should use to maintain optimal functioning?
A. Mid-Fowlers with knees supported.
B. Supine with trochanter rolls to the hips.
C. Sim's position alternated with right lateral position q2 hours.
Left lateral, supine, brief periods on the right side, and prone
D
Rationale
After an acute stroke, a positioning and turning schedule that minimizes lying on the
affected side, which can impair circulation and cause pain, and includes the prone position
to help prevent flexion contractures of the hips, prepares the client for optimal functioning
and ambulation.
Which preexisting diagnosis places a client at the greatest risk of developing superior vena
cava syndrome?
A. Carotid stenosis.
B. Steatosis hepatitis.
C. Metastatic cancer.
D. Clavicular fracture.
C
Rationale
Superior vena cava syndrome occurs when the superior vena cava (SVC) is compressed by
outside structures, such as a growing tumor that impedes the return blood flow to the
heart. Superior vena cava syndrome is likely to occur with metastatic cancer from a
primary tumor in the upper lobe of the right lung that compresses the superior vena cava.
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