The nurse is caring for a patient with a blunt trauma and tissue injury to the lower extremity. Which signs could develop in a patient with compartment syndrome?

Numbness and tingling in the opposite extremity

Severe. Increasing pain that is not relieved with opioids

Absence of pain in the affected extremity

Increased pain in the affected extremity upon ambulation

Answer and Explanation

The Correct Answer is B

A. Numbness and tingling in the opposite extremity: These symptoms might suggest a neurological issue but are not related to compartment syndrome, which is localized to the affected limb and involves pressure within a muscle compartment.
B. Severe, increasing pain that is not relieved with opioids: This is a hallmark sign of compartment syndrome. The pain is disproportionate to the injury and does not respond to usual pain management, indicating increased pressure within the compartment.
C. Absence of pain in the affected extremity: Absence of pain is not a symptom of compartment syndrome. In fact, severe pain is one of the primary symptoms, along with other signs like swelling and decreased sensation.
D. Increased pain in the affected extremity upon ambulation: While pain with movement can occur with many conditions, in compartment syndrome, the severe pain typically occurs regardless of movement and is related to the pressure within the muscle compartment, not just with ambulation.

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Correct Answer is ["A","B","C"]

Explanation

A. Computed tomography: CT angiography can visualize the arteries and detect blockages or narrowing, making it useful in diagnosing peripheral arterial disease (PAD).
B. Duplex ultrasound: This test combines traditional ultrasound with Doppler to assess blood flow and the structure of blood vessels, which is useful for diagnosing PAD by identifying areas of reduced blood flow or blockages.
C. Ankle-brachial index: The ankle-brachial index (ABI) is a non-invasive test that compares the blood pressure in the ankle with the blood pressure in the arm to detect reduced blood flow in the legs, indicative of PAD.
D. Troponin T: Troponin T is a biomarker used to diagnose myocardial infarction (heart attack) and is not relevant for diagnosing PAD, which involves peripheral arteries.
E. Electrocardiogram: An electrocardiogram (ECG) measures the electrical activity of the heart and is used to diagnose cardiac issues, not peripheral artery disease.

A. Consume a DASH diet. B. Maintain a healthy weight. C. Increase moderate intensity aerobic exercise. D. Quit smoking E. Increase alcohol consumption.

Correct Answer is ["A","B","C","D"]

Explanation

A. Consume a DASH diet.: The DASH (Dietary Approaches to Stop Hypertension) diet is effective in lowering blood pressure. It emphasizes fruits, vegetables, whole grains, and lean proteins.
B. Maintain a healthy weight.: Maintaining a healthy weight helps lower the workload on the heart and reduces blood pressure.
C. Increase moderate intensity aerobic exercise.: Regular aerobic exercise can help lower blood pressure and improve overall cardiovascular health.
D. Quit smoking.: Smoking cessation reduces the risk of hypertension and other cardiovascular diseases.
E. Increase alcohol consumption.: This is incorrect. Excessive alcohol intake can raise blood pressure and increase the risk of hypertension.

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The nurse is caring for a patient with a blunt trauma and tissue injury to the lower extremity. Which signs could develop in a patient with compartment syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which tests can be used to assist in diagnosing a patient with peripheral arterial disease? Select all that apply. (Select All that Apply.)

Correct Answer is ["A","B","C"]

Explanation

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Correct Answer is ["A","B","C","D"]

Explanation

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