A nurse is assessing a client who has an ankle fracture of the right foot and is at risk for complex regional pain syndrome (CRPS). The nurse should identify that which of the following findings is a manifestation of CRPS?
Tingling in the toes
1+ dorsalis pedis pulse
Capillary refill of 3 seconds
Increased edema of the foot
The Correct Answer is D
A. Tingling in the toes: Tingling in the toes is not specific to CRPS. It might be a general symptom but is not a classic sign of CRPS.
B. 1+ dorsalis pedis pulse: A weak pulse might indicate reduced circulation but is not specific to CRPS. CRPS is more associated with pain, swelling, and changes in skin color or temperature.
C. Capillary refill of 3 seconds: A capillary refill time of 3 seconds is prolonged and suggests possible circulation issues, but it is not a specific manifestation of CRPS.
D. Increased edema of the foot: Increased edema of the foot is a common manifestation of CRPS. CRPS often presents with localized swelling, along with other symptoms like pain and changes in skin color or temperature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Elevated blood pressure This is not a common manifestation of a UTI in older adults.
B. Decreased heart rate This is not associated with UTIs.
C. Report of epigastric pain Epigastric pain is more related to gastrointestinal issues.
D. Mental confusion Older adults with UTIs often present with mental confusion or altered mental status, rather than the classic symptoms seen in younger individuals.
Correct Answer is C
Explanation
A. Complete an incident report and notify the nursing supervisor. Completing an incident report and notifying the supervisor is not required for routine tasks like faxing a laboratory report.
B. Direct the provider to the admissions department for the information. Directing the provider to another department is not necessary for this task and does not address the specific request to fax the report.
C. Place a cover sheet on top of the document indicating the recipient. This is the correct action. A cover sheet helps protect patient confidentiality by indicating the intended recipient and purpose of the fax, ensuring secure transmission.
D. Fax the complete medical record to the provider's office. Faxing the complete medical record is inappropriate unless specifically requested. Only the relevant laboratory report should be sent to maintain patient confidentiality and comply with privacy regulations.
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