A nurse is reviewing the medical record of a patient who has a peptic ulcer.
Which of the following findings should the nurse recognize as a risk factor for this condition?

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

Choice A rationale

Nausea and vomiting are common side effects of morphine sulfate, an opioid analgesic administered via a PCA pump. An antiemetic medication directly addresses these symptoms and improves patient comfort.

Choice B rationale

Encouraging the use of an incentive spirometer is important for preventing postoperative respiratory complications, but it does not directly address the client's current nausea and vomiting.

Choice C rationale

Auscultating bowel sounds is important for assessing gastrointestinal function, but it does not provide immediate relief from nausea and vomiting. While changes in bowel sounds could indicate a problem, addressing the symptom with an antiemetic is the priority.

Choice D rationale

Inserting a nasogastric tube is an invasive procedure typically reserved for persistent vomiting, bowel obstruction, or gastric decompression. It is not the first-line intervention for nausea and vomiting related to opioid use.