a client with chronic osteomyelitis is being discharged from the hospital what is the nurses priority discharge intervention

ATI RN

Multi Dimensional Care | Final Exam

1. A client with chronic osteomyelitis is being discharged from the hospital. What is the nurseâ€™s priority discharge intervention?

A. Teaching adherence to an exercise program
B. Teaching about a healthy dietary intake
C. Teaching adherence to the antibiotic regimen
D. Scheduling daily dressing changes

Correct answer: C

Rationale: The correct answer is C: Teaching adherence to the antibiotic regimen. In chronic osteomyelitis, the priority is to ensure proper treatment of the infection, which heavily relies on consistent adherence to the prescribed antibiotic regimen. This helps in eradicating the infectious organisms and preventing recurrence. Choices A, B, and D are important aspects of care but teaching adherence to the antibiotic regimen takes precedence as it directly impacts the successful management of chronic osteomyelitis.

2. A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the management of gout. What statement by the client indicates a correct understanding of the teaching?

A. "I should choose red meat instead of poultry."?
B. "I should avoid eating liver and other organ meats."?
C. I can drink only white wine."?
D. "I will need to limit the number of fruit servings each day."?

Correct answer: B

Rationale:

3. What statement by the client with plantar fasciitis indicates a need for further teaching?

A. I will use warm packs on my feet.
B. I will use nonsteroidal anti-inflammatory drugs (NSAIDS) for comfort.
C. I will rest and stretch my feet.
D. I will wear supportive shoes.

Correct answer: A

Rationale: The correct answer is A. Using warm packs can exacerbate inflammation in plantar fasciitis. Choices B, C, and D are all appropriate interventions for managing plantar fasciitis. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Resting and stretching the feet can promote healing and reduce symptoms. Wearing supportive shoes can provide stability and reduce strain on the plantar fascia. Therefore, the client's statement about using warm packs indicates a need for further teaching as it can worsen the condition.

4. What is the intended outcome for the treatment of glaucoma?

A. Improve the vision of the eye
B. Strengthen the muscles of the eye
C. Lower the intraocular pressure
D. Dry up excess secretions

Correct answer: C

Rationale: The correct answer is C: Lower the intraocular pressure. The primary objective of treating glaucoma is to reduce intraocular pressure to prevent further vision loss. Choice A, 'Improve the vision of the eye,' is incorrect because while treatment may prevent vision loss, it does not necessarily improve vision. Choice B, 'Strengthen the muscles of the eye,' is incorrect as glaucoma primarily involves the optic nerve and not muscle weakness. Choice D, 'Dry up excess secretions,' is not related to the treatment goal of glaucoma which is focused on managing intraocular pressure.