While performing assessments on a group of medical-surgical patients, the nurse recognizes which of the following patients as being at the highest risk for the development of osteomyelitis?
A) A middle-age adult who takes ibuprofen daily for rheumatoid arthritis
B) An elderly patient with an infected pressure ulcer in the sacral area
C) A 17-year-old football player who had orthopedic surgery 6 weeks prior
D) An infant diagnosed with jaundice
Ans: B
Feedback: Patients who are at high risk of developing osteomyelitis include those who are poorly nourished, elderly, and obese. The elderly patient with an infected sacral pressure ulcer is at the greatest risk for the development of osteomyelitis, as this patient has two risk factors: age and the presence of a soft tissue infection that has the potential to extend into the bone. The patient with rheumatoid arthritis has one risk factor: the arthritis. The football player 6 weeks' post-surgery is beyond the window of time for the development of a postoperative surgical wound infection. The infant with jaundice has no identifiable risk factors.
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