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 ["25"]
Explanation
To calculate the number of hours required to infuse two 1L bags of normal saline at a rate of 80 ml/hr, you can use the following formula:
Time (hours) = Total volume (ml) / Infusion rate (ml/hr)
First, calculate the total volume of normal saline to be infused:
Total volume = 2 bags x 1L/bag x 1000 ml/L = 2000 ml
Now, plug this into the formula:
Time (hours) = 2000 ml / 80 ml/hr
Time (hours) = 25 hours
So, it will take 25 hours to infuse the total amount of normal saline at a rate of 80 ml/hr, assuming no interruptions in the infusion. Rounded to the nearest whole number, it will take 25 hours.
Correct Answer is ["165"]
Explanation
To calculate the low range of the dosage, we need to use the lower end of the dosage range provided (1.5 mg/kg) and the client's weight in kilograms.
1 lb is approximately equal to 0.45 kg. So, to convert the client's weight from pounds to kilograms:
245 lbs * 0.45 kg/lb = 110.25 kg
Now, to calculate the low range dosage:
Low range dosage = 1.5 mg/kg * 110.25 kg = 165.375 mg
Rounding to the nearest whole number, the nurse should administer 165 mg for the low range of the dosage.
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