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.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Pinpoint pupils are not a typical finding in an adolescent who has inhaled gasoline. Pinpoint pupils are more commonly associated with opioid use.
Choice B rationale
Hypothermia is not a typical finding in an adolescent who has inhaled gasoline. Inhalation of gasoline can cause central nervous system depression, leading to symptoms such as dizziness, confusion, and ataxia.
Choice C rationale
Ataxia, or lack of muscle coordination, can occur after inhaling gasoline. The gasoline vapors can depress the central nervous system, leading to symptoms such as dizziness, confusion, and ataxia.
Choice D rationale
Hyperactive reflexes are not a typical finding in an adolescent who has inhaled gasoline. Inhalation of gasoline can cause central nervous system depression, leading to symptoms such as dizziness, confusion, and ataxia.
Correct Answer is B
Explanation
Choice A rationale
Aspartame is a low-calorie sweetener used in place of sugar. However, it is not recommended for individuals with phenylketonuria (PKU) because it contains phenylalanine, an amino acid that individuals with PKU cannot metabolize properly.
Choice B rationale
Individuals with PKU are advised to avoid foods containing milk products. This is because milk and other
dairy products contain phenylalanine, which individuals with PKU cannot metabolize properly. Instead, they are advised to consume a diet low in protein and supplemented with a phenylalanine-free medical formula.
Choice C rationale
Increasing protein consumption is not recommended for individuals with PKU. This is because protein-rich foods often contain phenylalanine, an amino acid that individuals with PKU cannot metabolize properly.
Instead, they are advised to consume a diet low in protein and supplemented with a phenylalanine-free medical formula.
Choice D rationale
Limiting foods high in iron is not specifically related to the dietary management of PKU. Individuals with PKU primarily need to avoid foods high in phenylalanine.
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