A 6-year-old patient in skeletal traction for a femur fracture has pain and edema of the thigh and is febrile. The nurse should suspect which condition?
a. Meningitis
b. Crepitus
c. Osteomyelitis
d. Osteochondrosis
C
The most serious complication of skeletal traction is osteomyelitis. Clinical manifestations include complaints of localized pain, swelling, warmth, tenderness, or unusual odor. An elevated temperature may accompany the symptoms. The symptoms of meningitis include headache, photophobia, fever, nausea, and vomiting. Crepitus is the "sandy" or "gravelly" feeling noted when a broken bone is palpated. Osteochondrosis is a disorder of the epiphyses involving an interruption of the blood supply.
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