A patient recovering from a total hip replacement develops a fever and redness at the surgical site. The nurse's priority is to conduct additional assessment for which disorder?

1. Pathologic fracture
2. Osteomyelitis
3. Undiagnosed osteitis deformans
4. Subacute osteoporosis


2
Rationale 1: Pathologic fracture occurs in the absence of trauma. Fever and redness are not manifestations of pathologic fracture.
Rationale 2: Acute osteomyelitis results from direct trauma or surgery. It is the direct contact of bacteria or the implanting of bacteria from the outside environment during a surgical procedure. Symptoms of acute osteomyelitis include fever, edema at the surgical site, warmth, redness, tenderness, and limited mobility.
Rationale 3: Osteitis deformans is a chronic disorder that causes irregular bone breakdown and bone weakness.
Rationale 4: Subacute osteoporosis is not a clinical disorder.

Nursing

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