Following 2 weeks of IV antibiotic therapy, a patient with acute osteomyelitis of the tibia is prepared for discharge from the hospital. The nurse determines that additional instruction is needed when the patient makes which statement?

Correct Answer: C

Rationale: In this scenario, option C is the incorrect statement that requires further clarification for the patient. Using a heating pad on the lower leg for comfort and to promote healing can be detrimental in osteomyelitis. Heat can increase blood flow to the affected area, potentially worsening the infection or spreading it further. Option A is correct because patients with acute osteomyelitis typically require 4 to 6 weeks of antibiotic therapy to ensure complete eradication of the infection. Option B is also correct as bearing weight on the affected leg can delay healing and may lead to complications. Option D is correct as increased pain may indicate worsening infection and should prompt immediate medical attention. From an educational perspective, it is crucial to emphasize the importance of patient education in preventing complications and promoting recovery. Patients need clear and accurate information to manage their condition effectively. Providing explanations for correct and incorrect statements helps reinforce understanding and ensures optimal outcomes for patients undergoing treatment for osteomyelitis.

Correct Answer: D

Rationale: The correct answer is D: "When my joints are painful, I can use a bag of frozen corn for 10 to 15 minutes to relieve the pain." This answer is correct because using a bag of frozen corn for a short duration can help reduce inflammation and pain in the joints, which is beneficial for someone with rheumatoid arthritis (RA). Cold therapy helps to numb the area, reduce blood flow, and decrease inflammation, providing relief for painful joints. Option A is incorrect because heat treatments can actually help relax muscles and reduce spasms, so they can be used even when muscle spasms are present. Option B is incorrect because cold applications should not be left on for more than 15 minutes at a time, as prolonged exposure to cold can cause tissue damage. Option C is incorrect because heat should not be used during an acute flare of RA as it can potentially exacerbate inflammation and pain. Educationally, it is essential for patients with RA to understand the proper use of heat and cold therapy to manage their symptoms effectively. Teaching patients the correct techniques and durations for these therapies can help them alleviate pain and inflammation associated with their condition. It is important for nurses to provide accurate and clear instructions to patients to ensure they can independently manage their symptoms at home.

Correct Answer: B

Rationale: In dermatomyositis, a systemic autoimmune disease affecting the skin and muscles, the correct outcome during the acute phase is for the patient not to experience aspiration (Option B). This is because dermatomyositis can involve weakness of the muscles involved in swallowing, leading to a risk of aspiration pneumonia. Option A, relating improvement in pain, is not the most appropriate outcome for dermatomyositis as pain management is important but not the primary concern during the acute phase. Option C, performing active range of motion four times daily, may exacerbate muscle weakness and should be carefully monitored based on individual patient needs. Option D, maintaining absolute rest of affected joints, is not ideal as it can lead to joint stiffness and contractures. In an educational context, it is crucial for nursing students preparing for the NCLEX to understand the specific manifestations and management of dermatomyositis, including the appropriate outcomes to prioritize during the acute phase to ensure patient safety and optimal recovery. Nurses must be able to prioritize care based on the patient's condition and the pathophysiology of the disease to provide effective and safe care.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.