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

Localized erythema.

Hypothermia.

Numbness of toes on the affected foot.

Bradycardia.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Localized erythema, or redness, around a puncture wound is a classic sign of inflammation, which is an early manifestation of acute osteomyelitis, an infection of the bone. The inflammatory response causes vasodilation and increased blood flow to the infected area.

Choice B rationale

Hypothermia, or low body temperature, is not a typical manifestation of acute osteomyelitis. Fever is more common as the body mounts a systemic response to the infection. Normal body temperature is around 98.6°F (37°C).

Choice C rationale

Numbness of the toes on the affected foot suggests nerve damage or vascular compromise, which are not typical early manifestations of acute osteomyelitis resulting from a puncture wound. Pain and tenderness are more likely localized symptoms.

Choice D rationale

Bradycardia, or a slow heart rate, is not a typical finding in acute osteomyelitis. Tachycardia (rapid heart rate) might occur due to fever and the body's stress response to infection. Normal adult heart rate ranges from 60 to 100 beats per minute. .

NGN NGN NGN

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Correct Answer is D

Explanation

Choice A rationale

Milk can temporarily buffer stomach acid, but it also stimulates acid production due to its fat and calcium content, potentially worsening GERD symptoms in the long run. Therefore, this is not a recommended instruction for managing GERD.

Choice B rationale

Sleeping on the left side may help reduce nighttime reflux in some individuals because the esophagus enters the stomach on the right side. This positioning can keep the lower esophageal sphincter above the level of gastric contents, reducing the likelihood of reflux.

Choice C rationale

Lying down shortly after eating can increase the risk of stomach acid refluxing into the esophagus. Gravity helps to keep stomach contents down when a person is upright. Waiting at least 2 to 3 hours after eating before going to bed is generally recommended to manage GERD.

Choice D rationale

Eating larger meals can increase gastric pressure and the volume of stomach contents, both of which can contribute to reflux. Consuming four to six smaller meals throughout the day can help reduce gastric distension and acid production after meals, thereby minimizing GERD symptoms.

A. Bend at the waist to pick objects up from the floor. B. Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week. C. Notify the surgeon if white drainage develops on the eyelids. D. Sleep on the abdomen to facilitate wound healing.

Correct Answer is C

Explanation

Choice A rationale

Bending at the waist increases intraocular pressure, which can disrupt the healing process after cataract extraction and potentially lead to complications such as wound dehiscence or bleeding. Clients are typically advised to keep their head straight and bend at the knees to pick up objects.

Choice B rationale

Avoiding lifting heavy objects is crucial to prevent increased intraocular pressure after cataract surgery. Lifting anything heavier than 4.5 kg (10 lb) can strain the eye and interfere with healing. This restriction typically lasts for several weeks to allow the surgical site to heal properly.

Choice C rationale

White drainage from the eyelids after cataract surgery is an abnormal finding that could indicate an infection, such as endophthalmitis. Prompt notification of the surgeon is essential for timely diagnosis and treatment to prevent potentially serious vision-threatening complications.

Choice D rationale

Sleeping on the abdomen puts direct pressure on the operated eye, which can disrupt the surgical site and impede healing. Clients are usually advised to sleep on their back or on the non-operative side to avoid any pressure on the healing eye. .

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

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