a client has sustained an open fracture what nursing intervention will best prevent osteomyelitis in this client

ATI RN

Multi Dimensional Care | Final Exam

1. A client has sustained an open fracture. What nursing intervention will best prevent osteomyelitis in this client?

A. Delegate all client personal care to specific unlicensed assistive personnel
B. Place the client in contact precautions
C. Proper hand hygiene
D. Administer pain medication

Correct answer: C

Rationale: Proper hand hygiene is crucial in preventing infections such as osteomyelitis in clients with open fractures. Keeping the hands clean helps reduce the risk of introducing harmful pathogens to the wound site. Delegating all client personal care to specific unlicensed assistive personnel (Choice A) is not appropriate as direct involvement in wound care is essential in preventing infections. Placing the client in contact precautions (Choice B) is not directly related to preventing osteomyelitis in this context. Administering pain medication (Choice D) is important for managing the client's pain but does not directly address the prevention of osteomyelitis.

2. A nurse enters the hospital room of a client with reduced immunity. What observation requires further action by the nurse?

A. The client is in a private room.
B. The client has a vase of fresh flowers on the table
C. The client has a dedicated vital signs machine
D. There is hand sanitizer by the door

Correct answer: B

Rationale:

3. What is a negative effect of immobility on the musculoskeletal system?

A. Pressure injury
B. Contractures
C. Glucose intolerance
D. Incontinence

Correct answer: B

Rationale: Contractures are a negative effect of immobility on the musculoskeletal system.

4. The nurse is caring for 4 clients. What client should the nurse see first?

A. A client with multiple children visiting
B. A client with lupus asking for dinner
C. A client on Methotrexate with a fever
D. A client with chronic rheumatic pain

Correct answer: C

Rationale: The correct answer is the client on Methotrexate with a fever. Fever in a client on Methotrexate, an immunosuppressant, could indicate a serious infection or adverse drug reaction requiring immediate attention to prevent complications. The other choices do not present immediate life-threatening concerns. A client with lupus asking for dinner can wait, a client with chronic rheumatic pain may need pain management but is not the priority over a fever in a client on Methotrexate, and a client with children visiting does not pose an urgent medical issue.