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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Diabetes: Diabetes increases the risk of osteomyelitis because high blood sugar levels can impair circulation, immune response, and wound healing, making infections more likely to develop and harder to treat.
B. Osteogenesis imperfecta: Osteogenesis imperfecta primarily affects bone fragility and does not directly increase the risk of osteomyelitis.
C. Cancer: Cancer can affect the bones and immune system, but it is not as directly linked to an increased risk of osteomyelitis as diabetes is.
D. Osteoporosis: Osteoporosis affects bone density and strength, making bones more prone to fractures, but it does not directly increase the risk of bone infection (osteomyelitis).
Correct Answer is A
Explanation
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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