Teaching the parents of a school-aged childwho has a new diagnosis of osteomyelitis of the tibia. The

nurse should identify that which of the following statements by the parents indicates an

understanding of the teaching?

my child will have a cast until healing is complete.

My childwill receive antibioticsforseveral weeks.

My child can return to playing sports once he is discharged.

My child needs to be in contact isolation.

Answer: b

The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4

weeks. Surgery might be indicated if the antibiotics are not successful.

A - incorrect

Weight bearing must be avoided with osteomyelitis. Therefore,the child is placed in a

comfortable position with the limb supported. There is no indication for a cast.

C- incorrect

Weight bearing should be avoided to prevent complications and minimize pain. Therefore, it will

be several weeks to months before the child can play contact sports.

D- incorrect

Contact isolation is NOT necessary, because osteomyelitis is not a communicable illness.

A nurse is auscultating the lungs of an adolescent who has asthma. The nurse should identify the

sound as which of the following? Click the audio button to listen.

A- Biotsrespiration

B- Chaney Stokesrespiration

C- tackypnea

D - Bradypnea

Answer- c

The nurse should identify the sound heard during auscultation as tachypnea, which is a rapid,

regular breathing pattern. This breathing pattern often occurs with anxiety, fever, metabolic

acidosis, or severe anemia.

A- Biot'srespirations are periods of apnea alternating with two orthree shallow breaths.

B- Cheyne-Stokes respirations are periods of apnea alternating with periods of

hyperventilation.

D- Bradypnea is a slow,regular breathing pattern.

A nurse in an emergency department is caring for a school-age child who is experiencing an

anaphylactic reaction. Which of the following is the priority action by the nurse?

A- Elevate the head of the child's bed

B- insert a large-bore IV catheter for the child

C- determine the allergen that caused the child's reaction

D- administer IM epinephrine to the child