A nurse is monitoring a client who has a cast on her right ankle following an open reduction and internal fixation procedure. The nurse should monitor for which of the following findings to identify compartment syndrome?

Pain unrelieved by routine medications

Elevated WBC count

Swelling and redness of the right leg

Decreased oxygen saturation

Answer and Explanation

The Correct Answer is A

A. Pain unrelieved by routine medications: Pain unrelieved by medication is a hallmark sign of compartment syndrome, a serious condition that requires immediate intervention.
B. Elevated WBC count: An elevated WBC count indicates infection but is not a specific sign of compartment syndrome.
C. Swelling and redness of the right leg: While swelling and redness can be present, they are not specific to compartment syndrome and can occur in many other conditions.
D. Decreased oxygen saturation: Decreased oxygen saturation is more commonly associated with respiratory or cardiac issues and is not specific to compartment syndrome.

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Correct Answer is C

Explanation

A. Use a pillow to prop your arm close to the ear. This instruction would position the arm in abduction, not adduction. Adduction involves bringing the arm closer to the body, not away from it.

B. Position your arm with the shoulder at a 90-degree angle. This would also position the arm in abduction, as a 90-degree angle would place the arm away from the body.

C. Hold the arm against the side of your body. Adduction means bringing the arm closer to the midline of the body, which is achieved by holding the arm against the side.

D. Keep your arm bent at the elbow. This instruction focuses on the elbow rather than the shoulder. Adduction refers to the shoulder's position relative to the body.

A. It increases formation of purines. B. It increases metabolism of purines. C. It blocks formation of uric acid. D. It excretes protein.

Correct Answer is C

Explanation

A. It increases formation of purines. Increasing purine formation would exacerbate gout by increasing uric acid levels.

B. It increases metabolism of purines. Allopurinol does not increase the metabolism of purines.

C. It blocks formation of uric acid. Allopurinol works by inhibiting xanthine oxidase, an enzyme involved in the production of uric acid, thereby reducing uric acid levels in the body.

D. It excretes protein. Allopurinol does not promote protein excretion; it specifically targets uric acid metabolism.

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A nurse is monitoring a client who has a cast on her right ankle following an open reduction and internal fixation procedure. The nurse should monitor for which of the following findings to identify compartment syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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