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 ["A","C","E","F"]

Explanation

Heart rate: The increase in heart rate from 92/min to 108/min suggests possible complications such as pain, infection, or hypovolemia.

Oxygen saturation: it is within normal range (96%), it doesn’t indicate an immediate problem.

Edema: Increased edema from slight to 2+ suggests worsening of the condition, possibly indicating an underlying issue such as poor circulation or developing compartment syndrome.

Temperature: The slight increase in temperature is not immediately concerning.

rine color: Dark, reddish-brown urine is concerning for possible rhabdomyolysis or other renal issues.

Pedal pulses: Diminished pedal pulses (from +2 to +1) and prolonged capillary refill time (6 seconds) indicate compromised peripheral circulation, which needs immediate attention.

A. The ropes attach securely to the pin. B. The ropes are in the center of the wheel grooves. C. The weights are equal on each side. D. The weights rest against the foot of the bed.

Correct Answer is D

Explanation

A. The ropes attach securely to the pin. Secure attachment of the ropes is important but not usually a problem that needs correction.

B. The ropes are in the center of the wheel grooves. Proper placement of the ropes in the wheel grooves is important for smooth movement, but this is not a common problem needing correction.

C. The weights are equal on each side. Ensuring equal weights is important but not typically a problem needing correction as it is usually set up correctly initially.

D. The weights rest against the foot of the bed. Correct. Weights should not rest against the foot of the bed; they must hang freely to maintain proper traction and alignment.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","C","E","F"]

Explanation

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Correct Answer is D

Explanation

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