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 C

Explanation

A. The drug should not be held based on how the client feels. Infliximab is prescribed based on specific treatment protocols, and stopping it could negatively impact disease management.

B. Infliximab can be taken regardless of food intake, so it’s not necessary to take it with food or milk.

C. Infliximab is an immunosuppressive medication, which increases the risk of infections. Teaching the client and caregivers about the importance of hand hygiene is essential in preventing infections.

D. There is no requirement for the drug to be given specifically in the morning. It can be given according to the prescribed schedule, typically at intervals based on disease management.

A. Increased incisional drainage B. Painful, abnormally rotated leg C. Reddened incision D. Sudden shortness of breath

Correct Answer is B

Explanation

A. Increased incisional drainage is not a typical sign of dislocation.

B. A painful, abnormally rotated leg is a classic sign of hip dislocation.

C. Reddened incision may indicate infection but not dislocation.

D. Sudden shortness of breath could indicate a pulmonary embolism, not hip dislocation.

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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 with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:

Correct Answer is C

Explanation

A client who is 3 days post-operative following a total hip replacement returns from physical therapy and states, "Something is not right. I felt something 'pop' in my hip." What would cause the nurse to suspect that the client has dislocated the hip?

Correct Answer is B

Explanation

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