A nurse notes increasing edema in the calf of a client who has multiple fractures of the leg. The nurse should recognize that increasing edema is a manifestation of which of the following complications?
Malignant hypothermia
Pulmonary embolism
Acute compartment syndrome
Fat embolism syndrome
The Correct Answer is C
A. Malignant hypothermia: This is a rare but life-threatening reaction to certain medications used during anesthesia. It doesn't typically manifest with calf edema.
B. Pulmonary embolism: While pulmonary embolism can occur as a complication in some cases, it is characterized by symptoms like sudden shortness of breath, chest pain, and may not directly cause calf edema.
C. Acute compartment syndrome
Increasing edema in the calf of a client with multiple fractures of the leg is a manifestation of acute compartment syndrome. Acute compartment syndrome occurs when there is increased pressure within a muscle compartment, which can lead to reduced blood flow, nerve damage, and tissue hypoxia. The edema and increased pressure can compress blood vessels, nerves, and muscle tissue within the compartment, resulting in symptoms such as severe pain, edema, and potential vascular compromise.
D. Fat embolism syndrome: This syndrome can occur in clients with long bone fractures, but it is characterized by respiratory and neurologic symptoms, not isolated calf edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Apply a moisture barrier ointment to the client's skin
Applying a moisture barrier ointment creates a protective barrier on the skin, preventing prolonged exposure to moisture, which can lead to skin breakdown in individuals with urinary incontinence. Keeping the skin dry and protected is essential in preventing skin irritation and breakdown.
B. Check the client's skin every 8 hr for signs of breakdown - Skin should be assessed more frequently, ideally every 2-4 hours, especially in clients with urinary incontinence, to detect signs of breakdown early.
C. Clean the client's skin and perineum with hot water after each episode of incontinence - Hot water can be harsh on the skin and exacerbate irritation. It's recommended to use mild, warm water and gentle cleansing techniques. Harsh cleaning methods can damage the skin.
D. Request a prescription for the insertion of an indwelling urinary catheter - Indwelling urinary catheters pose an increased risk of infection and other complications. Catheters should only be used when absolutely necessary, and preventive measures should be taken to manage incontinence without catheterization whenever possible.
Correct Answer is ["84.1"]
Explanation
Weightinkg=185÷2.2≈84.1
Calculate the dose of enoxaparin:
The prescribed dose is 1 mg/kg.
Doseinmg=Weightinkg×Doseperkg
Doseinmg=84.1×1≈84.1
The nurse should administer 84.1 mg of enoxaparin.
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