In which order will the nurse implement these collaborative ...

[Melani1276]

In which order will the nurse implement these collaborative interventions prescribed for a patient being admitted who has acute osteomyelitis with a temperature of 101.2 F? (Put a comma and a space between each answer choice A, B, C, D.)
 
  a. Obtain blood cultures from two sites.
  b. Send to radiology for computed tomography (CT) scan of right leg.
  c. Administer gentamicin (Garamycin) 60 mg IV.
  d. Administer acetaminophen (Tylenol) now and every 4 hours PRN for fever.

Question 2

Which actions will the nurse include in the plan of care when caring for a patient with metastatic bone cancer of the left femur (select all that apply)?
 
  a. Monitor serum calcium level.
  b. Teach about the need for strict bed rest.
  c. Avoid use of sustained-release opioids for pain.
  d. Support the left leg when repositioning the patient.
  e. Support family as they discuss the prognosis of patient

[dantucker]

Answer to Question 1

ANS:
A, C, D, B
The highest priority for possible osteomyelitis is initiation of antibiotic therapy, but cultures should be obtained before administration of antibiotics. Addressing the discomfort of the fever is the next highest priority. Because the purpose of the CT scan is to determine the extent of the infection, it can be done last.

Answer to Question 2

ANS: A, D, E
The nurse will monitor for hypercalcemia caused by bone decalcification. Support of the leg helps reduce the risk for pathologic fractures. Although the patient may be reluctant to exercise, activity is important to maintain function and avoid the complications associated with immobility. Adequate pain medication, including sustained-release and rapidly acting opioids, is needed for the severe pain that is frequently associated with bone cancer. The prognosis for metastatic bone cancer is poor so the patient and family need to be supported as they deal with the reality of the situation.

[Melani1276]

TYSM

[aruss1303]

Gracias!