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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Free Nursing Study Resources

Correct Answer is B

Explanation

A. "Soft, unformed stools.": This can be expected, depending on the location of the colostomy.
B. "Purplish stoma." A purplish stoma suggests compromised blood flow, which is a medical emergency.
C. "Noticeable stool odor.": Odor is normal with colostomies unless accompanied by infection or other symptoms.
D. "Slight bleeding around the stoma.": Minimal bleeding during cleaning is common and expected initially.

A. Dyspnea B. Increased pain at incision site C. Tingling sensation to right foot D. Swelling at incision site

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

Explanation

Findings	Acute compartment syndrome	Infection	Fat embolism syndrome
Dyspnea			✔
Increased pain at incision site	✔	✔
Tingling sensation to right foot	✔
Swelling at incision site	✔	✔

Dyspnea is a hallmark of fat embolism syndrome due to impaired oxygen exchange.

Increased pain at the incision site can signal both acute compartment syndrome (due to increased pressure) and infection (due to local inflammation).

Tingling sensation to the right foot is a sign of nerve compression related to compartment syndrome.

Swelling at the incision site is consistent with both compartment syndrome (due to tissue pressure) and infection (due to inflammation).

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about ostomy care with a client who has a new colostomy. Which of the following findings should the nurse instruct the client to report to the provider?

Correct Answer is B

Explanation

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

Explanation

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