The parent of a child with osteomyelitis asks why his child is in so much pain. What will the nurse respond causes the pain experienced with osteomyelitis?
"Circulatory congestion of the skin"
"Infection in the bone marrow"
"The cast applied on the extremity"
"Pressure of inelastic bone"
The Correct Answer is B
A. Circulatory congestion of the skin does not directly cause the intense, deep pain associated with osteomyelitis.
B. Osteomyelitis is an infection of the bone, often involving the bone marrow. The buildup of purulent material increases pressure within the rigid bone structure, causing severe pain.
C. While casts can cause discomfort if improperly applied, the primary source of pain in osteomyelitis is the infection itself.
D. Inelastic bone structure may contribute to pressure buildup, but this is secondary to the infection in the bone marrow, which is the direct cause of pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Exposure to sunlight can trigger seizures in some people with photosensitive epilepsy but is less common as a cause of status epilepticus.
B. Airplane travel is not typically associated with triggering status epilepticus.
C. Recent upper respiratory infections may lower the seizure threshold but are less likely to directly cause status epilepticus.
D. Abruptly stopping anticonvulsant medications is a common and significant cause of breakthrough seizures and status epilepticus due to loss of seizure control.
Correct Answer is C
Explanation
A. This is incorrect and dangerous—aspirinis strongly associated with Reye's syndromewhen given to children with viral infections (e.g., flu, chickenpox).
B. While testing may be appropriate if symptoms arise, this does not preventthe syndrome.
C. The most important preventive teaching is to avoid giving salicylates (like aspirin)to children with viral symptoms, as this is a known risk factor for Reye's syndrome, a potentially fatal condition.
D. There is no vaccinespecifically for Reye’s syndrome, so immunization is not a method of prevention.
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