A client is experiencing severe pain in his back to the point of being immobile and running a temperature. The client also has swelling in his lower back (vertebrae). Following biopsy, the results show spinal tuberculosis
The nurse will anticipate explaining which priority intervention to this client?
A) Drain the abscess in the lower back
B) Administer the four-drug antimicrobial medications
C) Locate a chiropractor for pain control
D) Log-roll the client while he is on bedrest
Ans: B
Feedback:
Because there are no specific radiographic findings in tubercular osteomyelitis, the diagnosis is usually made by tissue biopsy or culture findings. In spinal tuberculosis, a computed tomography (CT)-guided biopsy is often used. The mainstay of treatment for tubercular osteomyelitis remains the appropriate three- or four-drug antimicrobial therapy based on current guidelines. Conservative treatment is usually as effective as surgery, especially for earlier and milder cases.
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