A nurse is assessing a client who has a puncture wound on his foot. Which of the following findings is a manifestation of acute osteomyelitis?

Bradycardia

Numbness of toes on the affected foot

Localized erythema

Hypothermia

Answer and Explanation

The Correct Answer is C

A. Bradycardia - This is a slow heart rate and is not a typical manifestation of acute osteomyelitis.

B. Numbness of toes on the affected foot - Numbness may be associated with nerve involvement but is not a classic manifestation of acute osteomyelitis.

C. Localized erythema - This is a characteristic sign of acute osteomyelitis. It indicates inflammation and infection in the affected area.

D. Hypothermia - This is a low body temperature, which is not typically associated with acute osteomyelitis.

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Correct Answer is B

Explanation

A. Drying time is typically shorter with a synthetic cast compared to a plaster cast. Synthetic casts are designed to set faster, reducing the time the patient needs to remain immobilized during casting.

B. A synthetic cast is generally lighter in weight than a plaster cast. This can be more comfortable for the patient and may reduce the risk of muscle atrophy or discomfort associated with the cast's weight.

C. A plaster cast does not necessarily require expensive equipment for application, and both plaster and synthetic casts can be applied using relatively simple and cost-effective methods.

D. The effectiveness of immobilization is not significantly different between plaster and synthetic casts. Both types of casts can provide adequate immobilization for bone fractures, and the choice between them may depend on factors like patient preference, the type of fracture, and other clinical considerations.

A. Fat embolism syndrome B. Pulmonary embolism C. Acute compartment syndrome D. Osteomyelitis

Correct Answer is C

Explanation

A. Fat embolism syndrome - This is characterized by respiratory distress, altered mental status, and petechial rash. It is not associated with increasing edema.

B. Pulmonary embolism - This occurs when a blood clot (usually from the legs) travels to the lungs and can present with symptoms like chest pain, shortness of breath, and rapid heart rate. It is not associated with increasing edema around a fracture site.

C. Acute compartment syndrome - This is a serious condition that occurs when increased pressure within a muscle compartment impairs blood supply, leading to tissue ischemia and necrosis. Increasing edema is an early sign of compartment syndrome.

D. Osteomyelitis - This is an infection of the bone and is not typically associated with increasing edema around a fracture site. It may present with local signs of infection like warmth, redness, and tenderness.

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A nurse is assessing a client who has a puncture wound on his foot. Which of the following findings is a manifestation of acute osteomyelitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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