An 80-year-old man in a long-term care facility has a chronic leg ulcer. When the Nurse Practitioner makes his rounds, the man states that the area has become increasingly painful
The Nurse Practitioner assesses the area and notes that the wound bed of the ulcer is unchanged, but the site is now swollen and warm to the touch. The Nurse Practitioner notifies the physician of these symptoms as the patient may have developed what?
A) Osteomyelitis
B) Osteoporosis
C) Osteomalacia
D) Infectious arthritis
Ans: A
Feedback: When osteomyelitis develops from the spread of an adjacent infection, no signs of septicemia are present, but the area becomes swollen, warm, painful, and tender to touch. Osteoporosis is the most prevalent bone disease in the world. Osteomalacia is a metabolic bone disease characterized by inadequate mineralization of bone. Infectious arthritis occurs when joints become infected through spread of infection from other parts of the body (hematogenous spread) or directly through trauma or surgical instrumentation.
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