A nurse is assisting in the plan of care for the client who has compartment syndrome.

Exhibits

The nurse is assisting in the plan of care for the client who has compartment syndrome. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

Open the splint

Place the client on NPO status

Place the client's right leg in a dependent position

Obtain a urinalysis

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Open the splint: Reduces pressure and alleviates compartment syndrome.

Place the client on NPO status: Anticipated in preparation for possible surgery (e.g., fasciotomy).

Place the leg in a dependent position: Contraindicated as it can worsen swelling and increase pressure.

Obtain a urinalysis: Necessary to monitor for myoglobinuria, a potential complication of muscle damage in compartment syndrome.

Nursing Test Bank

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Correct Answer is A

Explanation

A. Perform suctioning: Restlessness and crackles in the lungs may indicate retained secretions. Suctioning the tracheostomy can help clear secretions and improve oxygenation.
B. Instill saline into the tubing: Routine instillation of saline is not recommended as it can cause discomfort, dislodge bacteria, or create a risk of aspiration.
C. Increase the humidification: While humidification helps prevent mucus from becoming thick, it does not address the immediate issue of retained secretions causing crackles.
D. Check the cuff pressure: While it is important to ensure appropriate cuff pressure, this is not the primary intervention for resolving restlessness and crackles, which suggest secretion buildup.

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"D"}

Explanation

Correct answer: The nurse should clarify the prescription for ibuprofen due to the client's peptic ulcer disease.

Ibuprofen: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can irritate the gastrointestinal tract and increase the risk of gastrointestinal bleeding or exacerbate peptic ulcer disease.

Peptic ulcer disease: The client's medical history of peptic ulcer disease makes it necessary to reconsider the use of NSAIDs, which can worsen this condition.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a tracheostomy tube. Upon data collection, the nurse observes the client is restless and hears crackles in the lungs. Which of the following interventions should the nurse take?

Correct Answer is A

Explanation

A nurse is preparing to administer medications to a client. Exhibits The nurse has reviewed the information above. Based on the findings, complete the following sentence by using the list of options. The nurse should clarify the prescription for dropdowndue to the client'sdropdown.

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"D"}

Explanation

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