A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg fiberglass cast. Which of the following findings should the nurse expect?
Intense pain with movement
Bounding distal pulses
Erythema of the toes
Capillary refill less than 2 seconds
The Correct Answer is A
Compartment syndrome is a condition in which increased pressure within a confined space compromises blood flow and tissue perfusion, leading to ischemia and necrosis. It can occur after trauma, fracture, or casting of an extremity. The early signs of compartment syndrome include intense pain with movement that is not relieved by analgesics or elevation, paresthesia, pallor, and decreased sensation and motor function of the affected limb. The late signs include absent distal pulses, cyanosis, coldness, and paralysis. Therefore, option A is correct.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A frozen fruit juice bar for dessert is a low-sodium option that can satisfy the client's sweet tooth. According to the National Health and Nutrition Examination Survey, Americans consume about 3700 mg of sodium daily, which is much higher than the recommended 2300 mg for the general population and 1500 mg for those with heart failure. Excessive sodium intake can lead to fluid retention, hypertension, and worsening of heart failure symptoms. Therefore, the client should avoid high-sodium foods such as vegetable juice, garlic and onion salts, and mayonnaise.
Correct Answer is B
Explanation
Anemia is a condition characterized by a decrease in hemoglobin level or red blood cell count, resulting in reduced oxygen-carrying capacity of the blood. This can cause various symptoms such as fatigue, weakness, pallor, dyspnea, tachycardia, and headache.
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