A nurse caring for a patient with suspected Osteomyelitis observes localized bone pain and tenderness.
What other clinical presentation should the nurse anticipate in this patient?
The patient will experience fever and chills.
The patient will develop chronic draining sinus tracts.
The patient will exhibit limited range of motion.
The patient will require hyperbaric oxygen therapy.
The Correct Answer is A
Choice A rationale:
Fever and chills are common clinical manifestations of osteomyelitis.
This is because osteomyelitis is an infection of the bone, and the body's natural response to infection is to increase its temperature (fever) to help combat the infection.
Chills often accompany fever as the body tries to raise its temperature to the new set point.
The presence of localized bone pain and tenderness, along with fever and chills, raises suspicion of an ongoing infection in the bone.
Choice B rationale:
Chronic draining sinus tracts are not typically associated with acute osteomyelitis.
While chronic draining sinus tracts can occur in some cases of chronic osteomyelitis, they are not an immediate clinical presentation and are more likely to develop over time.
Choice C rationale:
Limited range of motion may be observed in some cases of osteomyelitis, especially if the infection affects the adjacent joint.
However, it is not a primary clinical presentation of osteomyelitis.
Pain and fever are more common initial symptoms.
Choice D rationale:
Hyperbaric oxygen therapy is not a standard treatment for osteomyelitis.
While it may be considered in some cases, it is not a common or primary treatment option.
Therefore, the patient is not expected to require hyperbaric oxygen therapy as an immediate clinical presentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Staphylococcus aureus is the primary bacteria associated with Osteomyelitis.
This bacterium is known for its ability to infect bones, particularly in cases of hematogenous spread or direct contamination of bone tissue.
Choice B rationale:
Fungal infections (choice B) are not the most common cause of Osteomyelitis.
While fungal osteomyelitis can occur, it is much less common than bacterial Osteomyelitis.
Choice C rationale:
Osteomyelitis is not mainly caused by viral pathogens (choice C).
Viruses are not a typical cause of Osteomyelitis.
It is primarily a bacterial infection.
Choice D rationale:
Osteomyelitis is typically caused by specific bacteria, and there is a specific pathogen linked to it.
Therefore, choice D, which suggests there is no specific pathogen linked to Osteomyelitis, is incorrect.
Correct Answer is C
Explanation
Choice A rationale:
Administering intravenous antibiotics is an essential part of treating osteomyelitis to eliminate the infection.
However, if the client is complaining of severe bone pain, addressing pain management should be a priority to provide comfort and improve the client's overall well-being.
Choice B rationale:
Applying ice packs to the affected area may provide some relief for localized pain and inflammation, but it is not the primary intervention for severe bone pain associated with osteomyelitis.
Analgesics are more effective in managing significant pain.
Choice C rationale:
Providing analgesics as prescribed is a crucial step in managing severe bone pain in clients with osteomyelitis.
Adequate pain control is essential to improve the client's comfort and quality of life during the treatment and recovery process.
Choice D rationale:
Initiating physical therapy exercises may be beneficial in some cases to improve joint mobility and function after the acute phase of osteomyelitis.
However, it is not the primary intervention for managing severe bone pain, which requires immediate pain relief through analgesics.
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