What nursing intervention is most appropriate when caring for the child with osteomyelitis?
a. Encourage frequent ambulation.
b. Administer antibiotics with meals.
c. Move and turn the child carefully and gently to minimize pain.
d. Provide active range of motion exercises for the affected extremity.
c. Move and turn the child carefully and gently to minimize pain.
During the acute phase, any movement of the affected limb causes discomfort to the child. Careful positioning with the affected limb supported is necessary. Weight bearing is not permitted until healing is well under way to avoid pathologic fractures. Intravenous antibiotics are used initially. Food is not necessary with parenteral therapy. Active range of motion would be painful for the child.
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