A nurse is assessing a patient who has a puncture wound on his foot.Which of the following findings is a manifestation of acute osteomyelitis?
Explanation & Rationale
Choice A rationaleLocalized 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 rationaleHypothermia, 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 rationaleNumbness 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 rationaleBradycardia, 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