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 C

Explanation

A. Transient ischemic attack (TIA): A TIA might cause transient symptoms similar to a stroke, including weakness and dysphasia, but it would not explain why the symptoms are localized to the right side of the body. Additionally, TIA symptoms typically resolve within 24 hours.
B. Basilar artery syndrome: This type of stroke affects the brain stem, resulting in symptoms such as double vision, vertigo, and ataxia, rather than localized right-sided weakness and dysphasia.
C. Left middle cerebral artery syndrome: The left middle cerebral artery (MCA) supplies blood to the left hemisphere of the brain, including areas that control language and motor function on the right side of the body. Thus, an infarct in this area often leads to right-sided weakness and dysphasia, making it the most likely suspect.
D. Right middle cerebral artery syndrome: This would typically result in left-sided weakness and possibly neglect, but not right-sided symptoms

A. Impaired Physical Mobility B. Readiness for Enhanced Health Literacy C. Decreased Activity Tolerance D. Ineffective Airway Clearance

Correct Answer is B

Explanation

A. Impaired Physical Mobility: This is not directly related to hypertension management. While hypertension can affect physical activity, it is not the primary focus in the context of managing high blood pressure.
B. Readiness for Enhanced Health Literacy: This is the correct focus. Educating the patient about hypertension management, lifestyle modifications, and medication adherence is crucial in managing and controlling blood pressure.
C. Decreased Activity Tolerance: This could be a related issue but is not the primary focus. It addresses the impact of hypertension on physical capacity rather than managing the condition itself.
D. Ineffective Airway Clearance: This is unrelated to hypertension. It focuses on respiratory issues rather than blood pressure management.

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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

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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