Teaching the parents of a school-aged child who 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 child will receive antibiotics for several 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- Biots respiration

B- Chaney Stokes respiration

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's respirations are periods of apnea alternating with two or three 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 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

Answer- d