If surgery is needed, which procedure would the nurse first prepare the patient for to treat compartment syndrome?

Fasciotomy.

Internal fixation.

Release of tendons.

Amputation.

Answer and Explanation

The Correct Answer is A

Choice A reason: Fasciotomy is the primary surgical treatment for compartment syndrome, where increased intracompartmental pressure threatens muscle and nerve viability. Incising the fascia relieves pressure, restoring perfusion and preventing necrosis. Prompt preparation for fasciotomy is critical to salvage tissue, avoiding permanent damage or amputation in acute cases from trauma or fractures.

Choice B reason: Internal fixation, used for fracture stabilization, does not address compartment syndrome’s urgent pressure buildup. While fractures may contribute to the condition, fasciotomy is prioritized to relieve pressure. Expecting fixation misguides preparation, risking delayed decompression, which could lead to muscle necrosis, nerve damage, or limb loss.

Choice C reason: Tendon release is not a treatment for compartment syndrome, which involves fascial compartment pressure, not tendon pathology. Fasciotomy targets fascia to relieve pressure. Assuming tendon release misdirects surgical preparation, delaying critical intervention and increasing risks of irreversible tissue damage, chronic pain, or functional loss.

Choice D reason: Amputation is a last resort for compartment syndrome, used only if fasciotomy fails or necrosis is irreversible. Preparing for amputation first overlooks fasciotomy’s potential to save the limb. This assumption risks unnecessary limb loss, misaligning with urgent decompression to restore perfusion and preserve function in acute cases.

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Correct Answer is A

Explanation

Choice A reason: Aspirin, a nonsteroidal anti-inflammatory drug, inhibits prostaglandin synthesis, reducing gastric mucosal protection and increasing ulcer risk. In a client with a history of gastric ulcers, aspirin can exacerbate or reactivate ulcers, leading to bleeding or perforation. This is a contraindication, especially in rheumatoid arthritis patients requiring long-term pain management.

Choice B reason: Glaucoma is not a contraindication for aspirin. Aspirin does not affect intraocular pressure or optic nerve function in glaucoma. Its anti-inflammatory and analgesic effects are safe for pain relief in rheumatoid arthritis, making this an incorrect choice for a contraindication in this context.

Choice C reason: Recent migraine headaches are not a contraindication for aspirin, which is often used to treat migraines due to its analgesic and anti-inflammatory properties. Aspirin may even benefit headache relief in rheumatoid arthritis patients, making this an incorrect choice for a contraindication to its use.

Choice D reason: Amenorrhea, or absence of menstruation, is unrelated to aspirin’s mechanism or side effects. Aspirin’s gastrointestinal, renal, or hematologic risks do not interact with menstrual history. This finding is irrelevant to aspirin safety in rheumatoid arthritis, making it an incorrect contraindication.

A. Apply heat for 10 min every hour. B. Try padded shoe insoles C. Sleep on a soft mattress. D. Avoid prolonged sitting E. Sleep in a side-lying position with flexed knees.

Correct Answer is ["B","D","E"]

Explanation

Choice A reason: Applying heat for 10 minutes every hour is insufficient to relieve back strain and may not prevent recurrent pain. Heat therapy requires 15-20 minutes to relax muscles and improve blood flow effectively. This strategy is not a primary recommendation, as it does not address posture, movement, or ergonomic factors critical for back health.

Choice B reason: Padded shoe insoles absorb shock and support proper foot alignment, reducing stress on the spine during standing or walking. By improving biomechanics, insoles help distribute weight evenly, minimizing strain on the lower back. This is a practical strategy for nurses who stand for long periods, preventing repetitive back pain episodes.

Choice C reason: Sleeping on a soft mattress exacerbates back pain by failing to support spinal alignment, causing excessive curvature. A medium-firm mattress maintains neutral spine position, reducing strain on lumbar muscles and ligaments. This strategy is incorrect, as it does not contribute to minimizing back strain or preventing pain.

Choice D reason: Avoiding prolonged sitting reduces pressure on lumbar discs and prevents muscle stiffness. Prolonged sitting compresses spinal structures, weakening core muscles and increasing strain. Regular movement or standing breaks improve circulation and maintain flexibility, making this a key strategy to prevent recurrent low back pain in workplace settings.

Choice E reason: Sleeping in a side-lying position with flexed knees aligns the spine and reduces lumbar strain. This position, often supported by a pillow between the knees, maintains neutral pelvic alignment, minimizing stress on spinal ligaments and discs. It is an effective strategy for preventing back pain during rest, promoting recovery.

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If surgery is needed, which procedure would the nurse first prepare the patient for to treat compartment syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the client’s history is a contraindication to this medication?

Correct Answer is A

Explanation

A nurse is educating coworkers about how to minimize back strain and avoid repeated episodes of low back pain. Which of the following strategies should the nurse include? (Select all that apply)

Correct Answer is ["B","D","E"]

Explanation

During assessment of the patient diagnosed with fibromyalgia, what would the nurse expect the patient to report in addition to widespread pain?

What would the nurse check when assessing the patient with early to moderate rheumatoid arthritis?

A patient who fell in the bathroom of the hospital room reports pain in the upper right arm and elbow. Which action would the nurse take first in managing a possible fracture before splinting the injury?

A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities should the nurse expect to find in the client?

A clinic nurse is performing a physical assessment on a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?

What would the nurse include in the teaching plan for the patient with SLE?

A nurse is providing discharge teaching to a client who has a fracture of the right tibia and a fiberglass cast. Which of the following instructions should the nurse include in the teaching?

A nurse is providing teaching to a client who has a new diagnosis of fibromyalgia. Which of the following client statements indicates an understanding of the teaching?