A nurse is assisting in the plan of care for the client who has compartment syndrome.
The nurse is assisting in the plan of care for the client who has compartment syndrome. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
Open the splint
Place the client on NPO status
Place the client's right leg in a dependent position
Obtain a urinalysis
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}
Open the splint: Reduces pressure and alleviates compartment syndrome.
Place the client on NPO status: Anticipated in preparation for possible surgery (e.g., fasciotomy).
Place the leg in a dependent position: Contraindicated as it can worsen swelling and increase pressure.
Obtain a urinalysis: Necessary to monitor for myoglobinuria, a potential complication of muscle damage in compartment syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hemorrhoidectomy is not likely to cause a false-positive test, as the wound would typically heal and stop bleeding after a year.
B. The client takes ibuprofen for headaches: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the gastrointestinal (GI) tract, leading to minor bleeding in the stomach or intestines, which can result in a false-positive fecal occult blood test.
C. Citrus juice may alter the pH of the stool but is not a known cause of false-positive results in fecal occult blood tests.
D. Breast cancer is not directly associated with causing false-positive results in fecal occult blood tests.
Correct Answer is A
Explanation
A. The client should wear a mask during transport. In droplet precautions, the primary goal is to prevent the spread of respiratory secretions. The client wearing a mask during transport helps contain droplets and protect others.
B. The nurse should wear a mask during transport: While the nurse can wear a mask when in close contact with the client, it is more effective for the client to wear a mask to contain respiratory droplets.
C. The nurse should wear a gown during transport: Gowns are not required for droplet precautions unless there is a risk of contact with bodily fluids.
D. The client should wear a gown during transport: Gowns are unnecessary for droplet precautions unless the client’s clothing is contaminated.
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