A nurse assessing a client who has multiple fractures in his left leg notes increasing edema. The nurse should recognize this finding as an early manifestation of which of the following complications?

Fat embolism syndrome

Pulmonary embolism

Acute compartment syndrome

Osteomyelitis

Answer and Explanation

The Correct Answer is C

A. Fat embolism syndrome - This is characterized by respiratory distress, altered mental status, and petechial rash. It is not associated with increasing edema.

B. Pulmonary embolism - This occurs when a blood clot (usually from the legs) travels to the lungs and can present with symptoms like chest pain, shortness of breath, and rapid heart rate. It is not associated with increasing edema around a fracture site.

C. Acute compartment syndrome - This is a serious condition that occurs when increased pressure within a muscle compartment impairs blood supply, leading to tissue ischemia and necrosis. Increasing edema is an early sign of compartment syndrome.

D. Osteomyelitis - This is an infection of the bone and is not typically associated with increasing edema around a fracture site. It may present with local signs of infection like warmth, redness, and tenderness.

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Correct Answer is D

Explanation

A. 1 plain baked potato is not a significant source of calcium.

B. 1 cup carrot strips do not provide a substantial amount of calcium.

C. ½ cup chopped chicken breast is a source of protein but is not high in calcium.

D. 3 oz canned salmon is one of the highest dietary sources of calcium. It is especially beneficial for individuals with osteoporosis because it contains not only calcium but also vitamin D, which helps with calcium absorption.

A. Avoid prolonged sitting. B. Sleep in a side-lying position with flexed knees. C. Sleep on a soft mattress. D. Try padded shoe insoles. E. Apply heat for 10 min every hour.

Correct Answer is ["A","B","D","E"]

Explanation

A. Avoiding prolonged sitting helps reduce pressure on the lower back and minimizes the risk of developing back strain or pain.

B. Sleeping in a side-lying position with flexed knees helps maintain the natural curvature of the spine and reduces strain on the lower back.

D. Using padded shoe insoles can provide additional support and cushioning to the feet and lower back, helping to reduce strain.

E. Applying heat for short durations can help relax muscles and alleviate muscle tension, which can contribute to back pain relief. However, it's important not to overuse heat, so short intervals are recommended.

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A nurse assessing a client who has multiple fractures in his left leg notes increasing edema. The nurse should recognize this finding as an early manifestation of which of the following complications?

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