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Osteomyelitis: Midterm Exam Questions with Complete Solutions, Exams of Nursing

Saddleback CollegeNursing

A comprehensive set of midterm exam questions and answers related to osteomyelitis, a severe bone infection. It covers various aspects of the condition, including its definition, causes, treatment, and complications. Particularly useful for students studying medicine, nursing, or related healthcare fields.

Typology: Exams

2024/2025

Available from 04/16/2025

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N172 : OSTEOMYELITIS: MIDTERM EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
What is osteomyelitis? -- Answer ✔✔ Severe infection of the bone, bone marrow, and
surrounding soft tissue
How long is the course of antibiotics for an acute case of osteomyelitis -- Answer ✔✔
4-10 weeks
(chronic cases can remain on antibiotics for months at a time)
Most common causative agent of osteomyelitis -- Answer ✔✔ Staphylococcus aureus
What does the flap do? -- Answer ✔✔ performed to create weight bearing residual limb
stump
The flap provides padding over bony prominence(s)
Open amputation (guillotine) is performed for what reason -- Answer ✔✔
control/access site of infection - keep site open for debridement
Open amputation: Will the site always remain open? -- Answer ✔✔ No, a second
surgery will be performed to close the site
Are all amputated limbs able to be fit for a prosthesis? -- Answer ✔✔ No
Mirror therapy is beneficial for what? -- Answer ✔✔ Phantom limb pain
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N172 : OSTEOMYELITIS: MIDTERM EXAM QUESTIONS

WITH COMPLETE SOLUTIONS

What is osteomyelitis? -- Answer ✔✔ Severe infection of the bone, bone marrow, and surrounding soft tissue How long is the course of antibiotics for an acute case of osteomyelitis -- Answer ✔✔ 4 - 10 weeks (chronic cases can remain on antibiotics for months at a time) Most common causative agent of osteomyelitis -- Answer ✔✔ Staphylococcus aureus What does the flap do? -- Answer ✔✔ performed to create weight bearing residual limb stump The flap provides padding over bony prominence(s) Open amputation (guillotine) is performed for what reason -- Answer ✔✔ control/access site of infection - keep site open for debridement Open amputation: Will the site always remain open? -- Answer ✔✔ No, a second surgery will be performed to close the site Are all amputated limbs able to be fit for a prosthesis? -- Answer ✔✔ No Mirror therapy is beneficial for what? -- Answer ✔✔ Phantom limb pain

What needs to be kept at patient bedside post amputation (hint: device) -- Answer ✔✔ Tourniquet What is AKA? -- Answer ✔✔ above knee amputation Temporary prosthetic is beneficial for what -- Answer ✔✔ partial weight bearing once sutures are removed - patient waiting on fitting for long-term prosthesis which will enable them to be fully weight bearing swelling, inflammation, etc.. needs to diminish at site prior to placing ____ -- Answer ✔✔ long term prosthesis How long after amputation does one typically get to use their long term prosthesis that allows them to be fully weight bearing -- Answer ✔✔ 3 months Why do we wrap an amputated stump in an ace bandage? -- Answer ✔✔ To allow conical shape which will fit best in a prosthesis Prevents edema In what direction is the ace bandage on an amputated stump applied -- Answer ✔✔ distal to proximal AKA bottom to top Within how many hours post op can the stump of an amputated limb be elevated -- Answer ✔✔ 24 - 48 hours After how many hours do you no longer want to elevate an amputated stump -- Answer ✔✔ 48 hours after surgery NO MORE ELEVATION risk for flexion contracture Who removes the post op ace bandage/compression stocking on an amputated limb -- Answer ✔✔ the surgeon will do the first removal

malaise. Chronic osteomyelitis has a duration of -- Answer ✔✔ 1 month or more ***or failed response to first tx with antibiotics Granulation tissue growth in the cases of chronic osteomyelitis are cause for concern because.. -- Answer ✔✔ scar tissue responds in reaction and medications are no longer able to penetrate site of infection Diagnostic studies for osteomyelitis include -- Answer ✔✔ - bone or soft tissue biopsy (definitive way to identify microorganism) Elevated WBC and ESR x-rays, bone scan, MRI, CT Radionuclide bone scan (gallium and indium) Surgical debridement and decompression often needed for acute or chronic osteomyelitis -- Answer ✔✔ chronic Because bed rest is often ordered for patients with osteomyelitis, what are they at risk for? -- Answer ✔✔ flexion contractures of hip or knee foot drop exercise uninvolved joints and muscles Fluoroquinolones can be given for tx of osteomyelitis...what is a black box warning to be aware of? What do we need to teach the patient report? -- Answer ✔✔ achilles tendon rupture educate patient to report any heel pain to healthcare provider immediately

If a tx for osteomyelitis is successful what should be seen in the patient? -- Answer ✔✔ a consistent increase in mobility and range of motion Prevention of flexion contractures -- Answer ✔✔ avoid sitting in chair for more than 1 hour with hip flexed or pillow under surgical extremity lay on abdomen for 30 minutes: 3 - 4X/day; position hip in extension position while prone Do you want to dangle a newly amputated limb? -- Answer ✔✔ No, increase risk of edema, keep limb elevated Closed amputation (also known as flap amputation) is performed for what reason