A client with traumatic injuries has a comminuted open fracture of the femur that has been placed in an external fixator. The nurse recognizes that compartment syndrome is associated with which clinical assessment finding?

Client scratching around the pin sites

Accumulation of flaky skin on the extremity

Dry serosanguinous drainage on the fixator

Pain when client is not moving the extremity

Fall prevention

Answer and Explanation

The Correct Answer is D

A. Scratching around pin sites is more indicative of skin irritation or infection, not compartment syndrome.

B. Accumulation of flaky skin is generally unrelated to compartment syndrome and might be a sign of poor circulation or prolonged immobility.

C. Dry serosanguineous drainage is common after surgery and would not specifically indicate compartment syndrome.

D. Compartment syndrome is a serious condition where increased pressure within a muscle compartment can lead to ischemia and tissue damage. Pain, particularly pain that is out of proportion to the injury or pain when the limb is at rest, is a classic sign.

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Correct Answer is B

Explanation

A. Wiggling toes promotes circulation and helps detect any tightness or swelling in the cast.

B. Inserting objects into the cast, such as a chopstick, to relieve an itch can cause injury or damage to the skin or the cast itself.

C. Monitoring sensations in the foot is crucial to identify any issues such as decreased circulation or increased pressure.

D. Noticing hot spots on the cast is important as it may indicate irritation or infection beneath the cast.

A. observation during and after meals B. unscheduled weight checks C. monitoring during bathroom trips D. meals offered on a variable schedule E. adherence to scheduled meal times

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

Explanation

A. Observation during and after meals is essential to prevent purging behaviors and to ensure the client is eating and not engaging in unhealthy behaviors.

B. Unscheduled weight checks could increase anxiety and are not typically part of a structured treatment approach.

C. Monitoring bathroom trips is important to prevent purging behaviors, such as vomiting, after meals.

D. Meals should be offered on a regular schedule to promote healthy eating habits and avoid the unpredictability that can lead to eating disorder behaviors.

E. Adherence to scheduled meal times helps provide structure and consistency for the client, which is crucial for managing anorexia nervosa.

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A client with traumatic injuries has a comminuted open fracture of the femur that has been placed in an external fixator. The nurse recognizes that compartment syndrome is associated with which clinical assessment finding?

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Naxlex Comprehensive Predictor Exams

A client fractured the right ankle which was casted with a plaster of Paris cast. Before discharge, the nurse gives instructions for cast care. Which statement made by the client indicates that further teaching is needed?

Correct Answer is B

Explanation

When the nurse admits a client with anorexia nervosa for treatment, what factors should the therapeutic milieu provide? (SELECT ALL THAT APPLY)

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

Explanation

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A client with traumatic injuries has a comminuted open fracture of the femur that has been placed in an external fixator. The nurse recognizes that compartment syndrome is associated with which clinical assessment finding?

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