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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Delayed fine-motor development is not typically an early or defining feature of Duchenne's muscular dystrophy (DMD); gross motor delays are more characteristic.
B. In DMD, the calf muscles may appear enlarged (pseudohypertrophy)due to fat and connective tissue replacing muscle, not true atrophy in early stages.
C. Holding onto furniture is more characteristic of toddlers with normal or delayed gross motor development, not specific to DMD.
D. Frequent falls and clumsinessare hallmark early signsof DMD, reflecting progressive muscle weakness, especially in the pelvic and thigh muscles.
Correct Answer is C
Explanation
A. Subluxation involves partial dislocation, usually with more diffuse pain and joint instability.
B. Dislocation typically causes severe pain, deformity, and limited movement, often after trauma.
C. Bursitis causes localized pain, often pinpointed to the bursa area, and is common after repetitive motion or sports activities like racquetball.
D. Rotator cuff tear causes shoulder pain and weakness, not typically localized elbow pain.
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