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 C
Explanation
Choice C rationale:
Administering broad-spectrum antibiotics as prescribed is an appropriate nursing intervention for managing Osteomyelitis.
Osteomyelitis is primarily treated with antibiotics to target the causative bacteria.
Broad-spectrum antibiotics are often initially used until the specific pathogen is identified, and then targeted antibiotics can be prescribed.
Choice A rationale:
Administering antifungal medications (choice A) is not the standard treatment for Osteomyelitis.
Osteomyelitis is typically caused by bacterial infections, not fungal infections.
Choice B rationale:
Providing pain management through physical therapy (choice B) is important for the overall comfort and rehabilitation of the patient, but it is not the primary intervention for managing Osteomyelitis.
Antibiotics to treat the infection take precedence.
Choice D rationale:
Recommending a high-dose vitamin C supplement (choice D) is not a standard intervention for managing Osteomyelitis.
While vitamin C can support the immune system and wound healing, it is not a primary treatment for this condition.
Antibiotics and, in some cases, surgical interventions are the mainstay of treatment.
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.
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