A nurse is caring for a client who has herpes zoster.
Which of the following findings should the nurse expect?

Choice A rationale

Acetaminophen is often recommended as a first-line analgesic for managing mild to moderate pain associated with osteoarthritis. It acts centrally to inhibit prostaglandin synthesis in the central nervous system and block pain impulses peripherally. Unlike nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen lacks significant anti-inflammatory properties and does not typically cause gastrointestinal irritation or bleeding, making it a safer initial option for chronic pain management in many individuals.

Choice B rationale

Decreasing foods high in purines is a dietary recommendation for patients with gout, a type of inflammatory arthritis caused by the accumulation of uric acid crystals in the joints. Osteoarthritis, however, is a degenerative joint disease resulting from cartilage breakdown and is not directly linked to purine metabolism or uric acid levels. Therefore, this dietary modification is not relevant to managing osteoarthritis.

Choice C rationale

While elevating an affected joint can help reduce swelling and discomfort, it is generally recommended for acute inflammation or injury rather than the chronic pain of osteoarthritis. Large pillows under the knee or hip for extended periods can actually promote joint flexion contractures and should be avoided. Proper positioning usually involves maintaining joint alignment and avoiding prolonged static positions.

Choice D rationale

Applying heat can provide pain relief and muscle relaxation for osteoarthritis by increasing blood flow to the area and reducing stiffness. However, the temperature should be comfortably warm, not below body temperature, to achieve these therapeutic effects. Heat application typically ranges from 104°F to 113°F (40°C to 45°C) for optimal benefit without causing burns.

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