What findings on assessment would indicate to the nurse that a client has developed osteomyelitis 10 weeks after a right shoulder arthroplasty? (Select All that Apply.)

Bradycardia

Chills

Elevated temperature of 102 degrees F.

Difficulty breathing.

Client complaining of increasing pain in shoulder with movement.

Answer and Explanation

Correct Answer : B,C,E

A.   Bradycardia (a slow heart rate) is not a typical sign of osteomyelitis. Instead, infections often cause tachycardia (increased heart rate) due to the body's response to fever and inflammation. Therefore, this finding would not indicate osteomyelitis.
B.   Chills can be a sign of infection, including osteomyelitis. They often occur as a result of the body trying to regulate temperature in response to fever. The presence of chills would raise suspicion of an underlying infection.
C.   An elevated temperature, particularly above normal (typically defined as over 100.4 degrees F), is a classic sign of infection. A temperature of 102 degrees F suggests that the body is fighting an infection, which could indicate osteomyelitis.
D.   Difficulty breathing is not a direct symptom of osteomyelitis and may indicate other conditions such as respiratory issues or complications unrelated to the shoulder infection. Therefore, this finding is not typically associated with osteomyelitis.
E.   Increased pain in the affected area, especially with movement, can indicate inflammation or infection. In the case of osteomyelitis, localized pain at the site of infection is a common symptom.

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Correct Answer is C

Explanation

A. While scratching due to lice can lead to irritation and lesions, this finding is not specific to pediculosis capitis. Lesions extending to the hairline or neck could be caused by various conditions, such as eczema or dermatitis, rather than lice infestation.
B. This description is more characteristic of tinea capitis (scalp ringworm) rather than pediculosis capitis. Tinea capitis presents as circular patches with raised edges and may cause itching, but it is not caused by lice.
C. In cases of pediculosis capitis, the white sacs refer to nits (lice eggs), which are commonly found attached to hair shafts, especially around the occipital area (back of the head). Nits are oval and may be mistaken for dandruff but are firmly attached to the hair.
D. While maculopapular lesions can be a result of scratching, they are not a typical finding in pediculosis capitis. Such lesions might indicate another skin condition or an allergic reaction rather than an infestation of lice.

A. Assess breathing pattern for snoring. B. Assess mucous membranes for moisture. C. Assess pain level. D. Observe for continuous swallowing.

Correct Answer is D

Explanation

A. While changes in breathing patterns can indicate airway obstruction, snoring alone is not the most specific indicator of a complication after tonsillectomy. It could indicate swelling or an obstructed airway but does not specifically indicate bleeding.

B. Checking the mucous membranes for moisture is important in general nursing care to assess hydration status. However, it is not the most immediate priority in the post-tonsillectomy setting, where the primary concern is to monitor for bleeding.
C. Assessing pain is important for overall patient comfort and to evaluate the effectiveness of pain management strategies. However, pain alone does not directly indicate a complication like bleeding, which is a critical concern in this scenario.
D. Continuous swallowing can be an early sign of bleeding after tonsillectomy, as patients may swallow frequently to clear blood from the throat. If a patient is swallowing more often than normal, it could indicate that they are swallowing blood, which would require immediate intervention.

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What findings on assessment would indicate to the nurse that a client has developed osteomyelitis 10 weeks after a right shoulder arthroplasty? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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