The nurse is caring for a client who was admitted for a closed femur fracture. Which of the following signs and symptoms would alert the nurse that the client is experiencing compartment syndrome?
Intact motor function of the lower extremity.
Pedal capillary refill time of 5 seconds.
Bounding dorsal pedal pulse.
Pallor to the lower extremity.
Numbness and tingling of the lower extremity.
Correct Answer : B,D,E
A. Intact motor function is not a sign of compartment syndrome. Motor deficits, rather than intact function, would raise concern for this condition.
B. A capillary refill time of 5 seconds is prolonged and indicates impaired circulation, which is a sign of compartment syndrome.
C. A bounding pulse is not consistent with compartment syndrome. Pulses may initially remain normal but can diminish as the condition progresses.
D. Pallor to the lower extremity suggests compromised blood flow, which is a hallmark of compartment syndrome.
E. Numbness and tingling (paresthesia) indicate nerve compression, a common symptom of compartment syndrome.
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Related Questions
Correct Answer is B
Explanation
A. Chocolate and peppermint can relax the lower esophageal sphincter, worsening GERD symptoms. These should be avoided.
B. Oatmeal with banana slices is a good choice because it is low in fat and acid, which helps prevent GERD symptoms. Bananas are also a non-acidic fruit that is generally well-tolerated.
C. Spaghetti with tomato sauce contains acidic ingredients that can irritate the esophagus and worsen GERD symptoms.
D. A cheeseburger with grilled onions is high in fat, which can delay gastric emptying and increase reflux. Onions are also a known trigger for GERD symptoms.
Correct Answer is C
Explanation
A. Hyperactive reflexes are not typically associated with hypokalemia. In fact, hypokalemia can lead to hyporeflexia (decreased reflexes) due to the role of potassium in nerve function.
B. Extreme thirst is more commonly associated with hypernatremia or dehydration, not specifically with hypokalemia.
C. A flattened T-wave on an ECG is a classic sign of hypokalemia. Potassium plays a crucial role in maintaining the electrical activity of the heart, and low potassium levels can cause changes in the ECG, including a flattened T-wave.
D. Hyperactive bowel sounds are typically seen in conditions like gastroenteritis or early bowel obstruction, not directly related to hypokalemia. In fact, hypokalemia can sometimes lead to hypoactive or absent bowel sounds due to its effect on smooth muscle function.
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