A nurse is assessing a client who has a puncture wound on his foot. Which of the following findings is a manifestation of acute osteomyelitis?

Bradycardia

Numbness of toes on the affected foot

Localized erythema

Hypothermia

Answer and Explanation

The Correct Answer is C

A. Bradycardia - This is a slow heart rate and is not a typical manifestation of acute osteomyelitis.

B. Numbness of toes on the affected foot - Numbness may be associated with nerve involvement but is not a classic manifestation of acute osteomyelitis.

C. Localized erythema - This is a characteristic sign of acute osteomyelitis. It indicates inflammation and infection in the affected area.

D. Hypothermia - This is a low body temperature, which is not typically associated with acute osteomyelitis.

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Correct Answer is B

Explanation

A. Performing range of motion: This should not be done immediately after applying the cast, as it may compromise the integrity of the cast. Range of motion exercises should be initiated once the cast has fully set and as directed by the healthcare provider.

B. Checking capillary refill distal to the cast: This is the priority after applying the cast. It assesses blood flow to the extremity below the cast. Impaired circulation could lead to serious complications, so it's crucial to monitor capillary refill promptly.

C. Teaching the client about cast care: While providing education about cast care is important, it is not the immediate priority. Ensuring proper circulation is more critical in the initial moments after applying the cast.

D. Managing pain: While pain management is important, it is not the immediate priority after applying the cast. Ensuring proper circulation and assessing for any signs of impairment take precedence. Pain management can be addressed once circulation is confirmed to be adequate.

A. Drying time is prolonged with a synthetic cast. B. A synthetic cast weighs less. C. A plaster cast requires expensive equipment for application. D. A synthetic cast immobilizes bone fractures more effectively.

Correct Answer is B

Explanation

A. Drying time is typically shorter with a synthetic cast compared to a plaster cast. Synthetic casts are designed to set faster, reducing the time the patient needs to remain immobilized during casting.

B. A synthetic cast is generally lighter in weight than a plaster cast. This can be more comfortable for the patient and may reduce the risk of muscle atrophy or discomfort associated with the cast's weight.

C. A plaster cast does not necessarily require expensive equipment for application, and both plaster and synthetic casts can be applied using relatively simple and cost-effective methods.

D. The effectiveness of immobilization is not significantly different between plaster and synthetic casts. Both types of casts can provide adequate immobilization for bone fractures, and the choice between them may depend on factors like patient preference, the type of fracture, and other clinical considerations.

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A nurse is assessing a client who has a puncture wound on his foot. Which of the following findings is a manifestation of acute osteomyelitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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