The nurse should perform which action while providing care for a child with acute osteomyelitis? Select all that apply
a. Turn the child every 1 to 2 hours.
b. Assist with range-of-motion exercises every 2 hours.
c. Monitor peak and trough antibiotic serum levels.
d. Premedicate the child with an analgesic before any repositioning.
C, D
Assessment of the child's response to the antibiotics is an integral part of treatment. Antibiotics are administered over an extended period of time and high-dose therapy may be necessary. Peak and trough serum antibiotic levels are closely monitored. During the acute phase, pain may be severe and the child should be premedicated with an analgesic before any repositioning. During the acute phase of the disease, the child is not moved frequently to control the spread of infection. Range-of-motion exercises would not be done in the acute phase of the disease process. The child is placed on complete bed rest; after several days of healing, physical therapy with passive range of motion exercises is indicated to prevent contractures.
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