A nurse is assisting with the care of an adolescent.
Select 1 condition and 1 finding to fill in each blank in the following sentence.
The adolescent is at risk for developing
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
The adolescent is at risk for developing compartment syndrome as evidenced by edema of toes.
Compartment syndrome is a serious condition where increased pressure within a muscle compartment can lead to decreased blood flow and tissue damage. The presence of moderate toe edema and fluctuating pain levels are concerning signs that may indicate the development of compartment syndrome, which requires prompt assessment and intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Remaining in bed until falling asleep can worsen insomnia and create negative associations with the bed.
B. While maintaining a consistent sleep schedule is important, sleeping longer on the weekends can disrupt the circadian rhythm.
C. Keeping the television volume low can help with sleep, but it might not directly address the underlying issue of trouble falling asleep.
D. Correct. Regular exercise, especially during the day, can help regulate sleep patterns and improve the ability to fall asleep at night.
Correct Answer is A
Explanation
A. Correct. Assessing whether the client has a plan for self-harm is a priority in evaluating the immediate risk of suicide. If a plan is present, further assessment and intervention are needed.
B. Incorrect. While having support is important, knowing whether the client has a plan for self-harm takes precedence.
C. Incorrect. While a family history of suicide is a risk factor, it is not as immediate a concern as determining whether the client has a current plan.
D. Incorrect. Assessing the sources of stress is important, but the immediate risk of self-harm takes priority.
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