A 67-year-old patient is receiving IV antibiotics at home to treat chronic osteomyelitis of the left femur. The nurse chooses a nursing diagnosis of ineffective health maintenance when the nurse finds that the patient
a. is frustrated with the length of treatment required.
b. takes and records the oral temperature twice a day.
c. is unable to plantar flex the foot on the affected side.
d. uses crutches to avoid weight bearing on the affected leg.
ANS: C
Foot drop is an indication that the foot is not being supported in a neutral position by a splint. Using crutches and monitoring the oral temperature are appropriate self-care activities. Frustration with the length of treatment is not an indicator of ineffective health maintenance of the osteomyelitis.
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