A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash.
The nurse should monitor the child for which of the following complications during the first 24 hr after the injury occurred?
Osteomyelitis
Compartment syndrome
Volkmann ischemic contracture
Renal calculi
The Correct Answer is B
Choice A rationale
Osteomyelitis is an infection of the bone, typically caused by bacteria. While it can occur as a complication of a fracture, it is not the most immediate concern within the first 24 hours after injury.
Choice B rationale
Compartment syndrome is a serious condition that involves increased pressure in a muscle compartment. It can lead to muscle and nerve damage and problems with blood flow. It can develop within hours of a severe injury like a fracture. Therefore, it is crucial to monitor for signs of compartment syndrome, such as severe pain, paleness, numbness, or decreased strength, in the first 24 hours after a fracture.
Choice C rationale
Volkmann ischemic contracture is a condition that can occur if there is prolonged or severe muscle ischemia (lack of blood flow) following a fracture. However, this condition is not typically seen within the first 24 hours after injury.
Choice D rationale
Renal calculi, or kidney stones, are hard deposits made of minerals and salts that form inside your kidneys. They are not a complication that would arise within the first 24 hours after a fracture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should initiate droplet isolation precautions when admitting a child who has acute epiglottitis. Epiglottitis is commonly caused by Haemophilus influenzae type B and can be transmitted through respiratory droplets.
Correct Answer is B
Explanation
Choice A rationale
Consuming flavored yogurt instead of plain yogurt may not be beneficial for a lactose intolerant individual. Flavored yogurts often contain added sugars and may still contain lactose, which can trigger symptoms in individuals with lactose intolerance.
Choice B rationale
Replacing milk with non-dairy sources of calcium is a common strategy for managing lactose intolerance. Non-dairy sources of calcium include foods like broccoli, oranges, almonds, tofu, and certain fortified products. This can help ensure the individual meets their calcium needs without triggering symptoms of lactose intolerance.
Choice C rationale
Drinking milk on an empty stomach is not typically recommended for individuals with lactose intolerance. Consuming lactose-containing foods or drinks on an empty stomach may increase the likelihood of experiencing symptoms.
Choice D rationale
The tolerance for plain milk versus chocolate milk can vary among individuals with lactose intolerance. However, chocolate milk often contains added sugars and may still contain lactose, which can trigger symptoms.
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