SELF/Drainage of Septic Arthritis/Drainage of Septic Arthritis Test

A 6-year-old with sickle cell disease presents with acute knee swelling, high fever, and severe pain on passive flexion. The nurse prepares for urgent aspiration but notes erythematous, indurated skin directly over the intended insertion site. Which action is most appropriate?

An adult patient with acute shoulder pain, fever, and limited motion is prepared for aspiration. During consent, the patient expresses confusion about why drainage is urgent. Which explanation best supports informed decision-making?

A 12-year-old with hemophilia presents with an acutely swollen elbow following minor trauma, without fever and with stable vitals. Imaging shows an effusion but no fracture. What is the nurse’s priority before any aspiration is considered?

During knee aspiration, the clinician withdraws thick purulent fluid but cannot fully clear the joint due to viscosity. The nurse anticipates the next step. What is the most appropriate action?

A 4-year-old is scheduled for hip aspiration but is too anxious to remain still. The facility has appropriate sedation capability. Which anesthesia plan is most appropriate?

A patient undergoing shoulder aspiration becomes uncomfortable, and the syringe becomes difficult to withdraw, suggesting the synovial lining is collapsing over the needle tip. Which adjustment best maintains safe aspiration?

A sickle cell patient with confirmed septic arthritis continues to have rising inflammatory markers after 48 hours of cefazolin. What regimen adjustment should be anticipated?

A patient drained for ankle septic arthritis has minimal drain output (<10 mL/24 hrs) and improved pain but persistent low-grade fever. What finding is most essential before considering drain removal?

On day 4 of rehabilitation after knee drainage, the patient develops warmth, swelling, and pain lasting several hours after the session. What is the best nursing action?

A patient scheduled for hip aspiration listens as the nurse explains the steps of the procedure. The patient asks whether waiting before deciding is an option. Which response would best support the consent process?