A nurse is assessing a child who has multiple closed fractures of the lower extremities due to a motor vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hr after the injury occurred?
Renal calculi
Osteomyelitis
Compartment syndrome
Volkmann ischemic contracture
The Correct Answer is C
A. Renal calculi (kidney stones) are not directly related to fractures of the lower
extremities. They form in the kidneys and can cause pain and other symptoms when they pass into the urinary tract.
B. Osteomyelitis is a bone infection that can occur as a complication of fractures, but it typically develops over a longer period of time than the first 24 hours after the injury.
C. This is the correct answer. Compartment syndrome is a serious complication of fractures that can occur within the first 24 hours after injury. It is characterized by
increased pressure within a muscle compartment, leading to reduced blood flow, nerve compression, and tissue damage.
D. Volkmann ischemic contracture is a complication that can occur if there is prolonged or severe muscle ischemia (lack of blood flow) following a fracture. It is not typically a concern within the first 24 hours after the injury
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Placing the child in a supine position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.
B. A semi-Fowler's position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.
C. Correct. Placing the child in a lateral position allows for better access to the spinal canal, which is necessary for a lumbar puncture.
D. Placing the child in a prone position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.
Correct Answer is B
Explanation
A. Allowing the child to watch an animated movie right before bedtime can be stimulating and may not be conducive to a calm and restful sleep environment.
B. This is correct. Allowing the child to sleep in the parent's bed may reinforce the night terrors. It's important for the child to learn to self-soothe and feel secure in their own sleeping environment.
C. It is not recommended to wake a child during a night terror. This can be disorienting and may not be effective in preventing future night terrors.
D. Waiting until the child indicates tiredness before putting them to bed may result in over-tiredness, which can sometimes contribute to night terrors. Establishing a consistent bedtime routine can be beneficial.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.