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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?

A.

Bradycardia

B.

Numbness of toes on the affected foot

C.

Localized erythema

D.

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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Related Questions

Correct Answer is B

Explanation

A. Inserting sterile packing into the nares is not indicated in this situation. Clear fluid drainage from the nose may be cerebrospinal fluid (CSF), and packing could cause further complications.

B. Allowing the drainage to drip onto a sterile gauze pad is the appropriate initial action. Clear fluid drainage from the nose after a traumatic event may be CSF, which can indicate a skull fracture and damage to the meninges. Collecting the fluid on a sterile gauze pad can help confirm the presence of CSF.

C. Suctioning the nose with a bulb syringe is not recommended because it can introduce contaminants into the nasal passages and potentially worsen the injury.

D. Obtaining a culture of the specimen using sterile swabs is a consideration once the presence of CSF is confirmed. However, the initial priority is to identify and collect the clear fluid drainage.

Correct Answer is D

Explanation

A. Rowing - This activity can put strain on the lower back and may exacerbate low back pain.

B. Tennis - This sport involves a lot of twisting and sudden movements, which can potentially worsen low back pain.

C. Canoeing - While generally a low-impact activity, it still requires core stability which could potentially aggravate low back pain.

D. Swimming - Swimming is a highly recommended exercise for individuals with low back pain. It is a low-impact activity that helps strengthen the muscles in the back, as well as other parts of the body, without putting excessive strain on the spine. Additionally, the buoyancy of water provides support, reducing the impact on the joints.

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