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A nurse is assisting with the care of an adolescent.

Exhibits

Complete the following sentence by using the lists of options.

The adolescent is at risk for developing

evidenced by
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Rationale for Correct Options:

Compartment syndrome is a serious complication that can occur after a fracture, particularly of a long bone like the femur. It results from increased pressure within a muscle compartment, leading to decreased blood flow and potential tissue damage.

Edema of the toes suggests swelling, which may indicate increasing pressure within the affected limb. The adolescent is already reporting significant pain (7/10) and has required repeated doses of IV morphine, which may not be sufficient to relieve compartment syndrome pain (a key warning sign). If left untreated, compartment syndrome can cause nerve and muscle damage, ischemia, and even permanent disability.

Rationale for Incorrect Options:

Deep Vein Thrombosis (DVT): DVT is a risk with immobilization, but it usually presents with unilateral swelling, warmth, and pain in the affected limb, not just toe edema.

Fat Embolism Syndrome: This occurs due to fat globules entering circulation after a long bone fracture. Symptoms include respiratory distress, mental status changes, and petechiae, which are not present here.


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Related Questions

Correct Answer is B

Explanation

A. "Cola soft drink." A standard 240 mL (8 oz) serving of cola contains approximately 20 to 40 mg of caffeine. While this is lower than the caffeine content in coffee or tea, it is still higher than that of hot cocoa.
B. "Hot cocoa." Hot cocoa contains the least amount of caffeine, typically around 5 mg per 240 mL (8 oz). Cocoa naturally contains small amounts of caffeine, but it is significantly lower than in coffee, tea, or soda.
C. "Brewed green tea." A 240 mL (8 oz) serving of brewed green tea contains approximately 30 to 50 mg of caffeine. While green tea has less caffeine than coffee, it still has more than hot cocoa.
D. "Instant coffee." Instant coffee has one of the highest caffeine contents per 240 mL (8 oz), ranging from 60 to 80 mg. This makes it a less suitable choice for someone trying to reduce caffeine intake.

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

Explanation

Anticipated:

  • Pyrazinamide: This is a first-line anti-tuberculosis medication used in combination therapy to treat active TB. It helps shorten treatment duration and targets intracellular bacteria.
  • Contact precautions: TB is transmitted via airborne droplets, requiring airborne precautions instead. However, contact precautions can still be implemented in addition to airborne precautions.
  • Ethambutol: This medication is used to prevent resistance and is part of the standard four-drug regimen for active tuberculosis.
  • Isoniazid: A core component of TB treatment, isoniazid is effective against actively dividing Mycobacterium tuberculosis. It is typically given for at least 6 months.
  • Airborne precautions: TB is transmitted through airborne droplets, necessitating airborne precautions such as an N95 mask, negative-pressure isolation, and limiting client transport.
  • Rifampin: Another first-line anti-tuberculosis drug, rifampin works by inhibiting bacterial RNA synthesis and is a crucial part of combination therapy for TB.

Contraindicated:

  • Monthly TB skin test for 1 year: Once TB is confirmed via sputum culture and chest x-ray, repeated skin testing is unnecessary and would not provide additional diagnostic value.

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