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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Place a compression bandage on the ankle.
- This helps reduce swelling and provides support to the injured area.
B. Apply heat to the ankle
- This action is not recommended for acute sprains as it can increase swelling. Cold packs or ice should be used initially to reduce inflammation.
C. Encourage rest.
- Rest is important to allow the ankle to heal properly and prevent further injury.
D. Elevate the ankle.
- Elevating the ankle helps reduce swelling by allowing fluid to drain away from the injured area.
E. Perform passive range-of-motion exercises to the ankle.
- Gentle range-of-motion exercises can help prevent stiffness in the ankle joint. However, it's important to perform these exercises within the limits of comfort and not force any movements.
Correct Answer is ["63"]
Explanation
- To calculate the gtt/min, use the formula: gtt/min = (volume in mL x drop factor in gtt/mL) / time in min
- Substitute the given values: gtt/min = (250 mL x 15 gtt/mL) / 60 min - Simplify and round: gtt/min = 62.5 gtt/min ≈ 63 gtt/min
- The nurse should set the manual IV infusion to deliver 63 gtt/min
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