The nurse is assessing a client for chronic osteomyelitis. Which features distinguish this from the acute form of the disease? (Select all that apply.)
a. Draining sinus tracts
b. High fevers
c. Presence of foot ulcers
d. Swelling and redness
e. Tenderness or pain
ANS: A, C
Draining sinus tracts and foot ulcers are seen in chronic osteomyelitis. High fever, swelling, and redness are more often seen in acute osteomyelitis. Pain or tenderness can be in either case.
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