A 5-year-old child is hospitalized with osteomyelitis and will be ...

[washai]

A 5-year-old child is hospitalized with osteomyelitis and will be going home in the next few days on intravenous (IV) antibiotics. Which action by the nurse is the most appropriate?
 
  A.
  Ensure that a valid permit for a PICC line is on the chart.
  B.
  Locate a pharmacy that will supply the IV medications.
  C.
  Research the patient's insurance for home infusion coverage.
  D.
  Teach the child about a PICC line using a doll.

Question 2

A child has been hospitalized with suspected osteomyelitis. The child's white blood cell count (WBC) is 22,000/mm3 and his C-reactive protein is 15 mg/dL. Which conclusion by the nurse is appropriate based on these laboratory values?
 
  A.
  The child has an infection somewhere.
  B.
  The child has osteomyelitis.
  C.
  The child is immunocompromised.
  D.
  These tests are not related to the condition.

[blakeserpa]

Answer to Question 1

ANS: A
A child going home on IV antibiotics will need a PICC line inserted for home infusion therapy. The nurse should ensure that a consent for this procedure is on the chart. Researching pharmacies and infusion companies can be done by the social worker. Teaching the child with a doll is appropriate, but does not take priority over legal responsibilities.

Answer to Question 2

ANS: A
Elevations in WBCs and C-reactive protein indicate an infection is present, but are not specific for any one kind of infection.