A nurse is assessing a client who has an ankle fracture of the right foot and is at risk for complex regional pain syndrome (CRPS). The nurse should identify that which of the following findings is a manifestation of CRPS?

Tingling in the toes

1+ dorsalis pedis pulse

Capillary refill of 3 seconds

Increased edema of the foot

Answer and Explanation

The Correct Answer is D

A. Tingling in the toes: Tingling in the toes is not specific to CRPS. It might be a general symptom but is not a classic sign of CRPS.
B. 1+ dorsalis pedis pulse: A weak pulse might indicate reduced circulation but is not specific to CRPS. CRPS is more associated with pain, swelling, and changes in skin color or temperature.
C. Capillary refill of 3 seconds: A capillary refill time of 3 seconds is prolonged and suggests possible circulation issues, but it is not a specific manifestation of CRPS.
D. Increased edema of the foot: Increased edema of the foot is a common manifestation of CRPS. CRPS often presents with localized swelling, along with other symptoms like pain and changes in skin color or temperature.

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Correct Answer is C

Explanation

A. "Self-examinations should be completed every 3 months." Self-examinations should be performed monthly, not every 3 months.
B. "I should squeeze the testicles firmly to determine the presence of lumps." Squeezing firmly can cause pain and is not necessary. The testicles should be examined gently.
C. "I should perform a self-examination after a warm shower." The warmth of the shower relaxes the scrotal skin, making it easier to feel any abnormalities.
D. "I should examine both of my testicles at the same time." Each testicle should be examined separately to ensure a thorough examination.

A. Liver failure B. Dehydration C. Immunosuppression D. Peripheral edema

Correct Answer is B

Explanation

A. Liver failure: Liver failure is not a common complication of Clostridium difficile infection.
B. Dehydration: Clostridium difficile causes severe diarrhea, which can lead to dehydration in the early stages.
C. Immunosuppression: Immunosuppression is not a direct complication of Clostridium difficile infection.
D. Peripheral edema: Peripheral edema is not commonly associated with Clostridium difficile infection.

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A nurse is assessing a client who has an ankle fracture of the right foot and is at risk for complex regional pain syndrome (CRPS). The nurse should identify that which of the following findings is a manifestation of CRPS?

Nursing Test Bank

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