A patient has been receiving home health care and IV antimicrobial therapy for osteomyelitis (infection of the bone) of the lower right leg for the past 4 weeks
What will the nurse assess to evaluate the effectiveness of the antimicrobial agent? (Select all that apply.)
a. Pain of the right leg
b. Patient temperature
c. Presence of edema, redness, or swelling in the right lower leg
d. Culture and sensitivity parameters at the drug completion
e. Complete blood count (CBC) and sedimentation rate laboratory values
ANS: A, B, C, E
Ongoing evaluation of treatment effectiveness includes assessing for pain of the affected leg, monitoring the patient's temperature, observing the affected extremity for decreased signs of infection (including reduced swelling, wound discharge, and redness), and monitoring the CBC and sedimentation rate through regular laboratory data. Culture and sensitivity testing should be completed before therapy to determine the most effective drug for therapy.
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