A nurse is collecting data from a client who has multiple fractures in his left leg and reports severe pain and tingling in the extremity. The nurse should suspect which of the following complications?

Fat embolism syndrome

Osteomyelitis

Pulmonary embolism

Acute compartment syndrome

Answer and Explanation

The Correct Answer is D

A. Fat embolism syndrome: Fat embolism syndrome can occur after fractures, particularly long bone fractures, but it typically presents with symptoms such as respiratory distress, petechiae, and neurological symptoms rather than severe pain and tingling in the affected extremity.
B. Osteomyelitis. Osteomyelitis, an infection of the bone, is characterized by localized pain, swelling, and fever but does not usually present immediately with severe pain and tingling following a fracture.
C. Pulmonary embolism. Pulmonary embolism is a blockage in one of the pulmonary arteries in the lungs and presents with chest pain, shortness of breath, and possibly coughing up blood, not localized extremity pain and tingling.
D. Acute compartment syndrome. Acute compartment syndrome is a serious condition that involves increased pressure within a muscle compartment. It can lead to severe pain, tingling, and decreased blood flow, which is consistent with the symptoms described.

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Correct Answer is C

Explanation

A. A fracture in which the bone is completely broken into two or more pieces. This describes a complete fracture but does not necessarily imply displacement.

B. A fracture in which the bone breaks through the skin. This describes an open or compound fracture, not specifically a displaced fracture.

C. A fracture in which the broken ends of the bone are out of alignment. This is the correct definition of a displaced fracture. The bone ends are misaligned and require reduction to align properly.

D. A fracture in which the bone is partially cracked but still intact. This describes a partial or incomplete fracture, such as a greenstick fracture, not a displaced fracture.

A. Toes cold to touch B. Pink tissue around the pin sites C. Blanching of the toenail beds with pressure. D. Serious drainage from the pin sites

Correct Answer is A

Explanation

A. Toes cold to touch: Cold toes can indicate compromised circulation, potentially due to compartment syndrome or other vascular issues, and should be reported immediately.

B. Pink tissue around the pin sites: Pink tissue around the pin sites usually indicates normal healing and is not generally a cause for concern unless accompanied by other symptoms of infection or inflammation.

C. Blanching of the toenail beds with pressure: Blanching of the toenail beds with pressure is a normal finding in assessing capillary refill and does not typically indicate a serious issue on its own.

D. Serous drainage from the pin sites: Serous drainage (clear, yellowish fluid) is common and expected post-operatively and does not usually indicate an infection or other complication unless there are additional concerning symptoms.

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A nurse is collecting data from a client who has multiple fractures in his left leg and reports severe pain and tingling in the extremity. The nurse should suspect which of the following complications?

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Naxlex Comprehensive Predictor Exams

A nurse is taking care of a client with a displaced fracture. The nurse knows a displaced fracture is best described as?

Correct Answer is C

Explanation

A nurse is collecting data from a client that is 48 hours post-operative following and open reduction and internal fixation of a fractured tibia. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

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