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 D

Explanation

A. Bone biopsy: A bone biopsy involves taking a sample of bone tissue, which is not relevant for diagnosing septic arthritis.

B. Arthroscopy: Arthroscopy is a procedure that involves inserting a camera into the joint to visualize the interior but is not specifically for fluid aspiration.

C. Magnetic resonance imaging (MRI): MRI provides detailed images of soft tissues, joints, and bones but is not a direct method for aspirating synovial fluid.

D. Arthrocentesis: Arthrocentesis is the procedure of aspirating synovial fluid from the joint space, which is essential for diagnosing septic arthritis.

Correct Answer is ["300"]

Explanation

Rationale: From 0330 to 0600 is 2.5 hours. The calculation is:

120 mL/hr × 2.5 hours = 300 mL

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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

The nurse collects data on a patient's left knee and notes redness, swelling, and pain. The health-care provider suspects septic arthritis and will perform a diagnostic procedure to aspirate synovial fluid for laboratory analysis. Which procedure does the nurse anticipate for this patient?

Correct Answer is D

Explanation

At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["300"]

Explanation

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