The nurse is caring for a patient with a blunt trauma and tissue injury to the lower extremity. Which signs could develop in a patient with compartment syndrome?

Numbness and tingling in the opposite extremity

Severe. Increasing pain that is not relieved with opioids

Absence of pain in the affected extremity

Increased pain in the affected extremity upon ambulation

Answer and Explanation

The Correct Answer is B

A. Numbness and tingling in the opposite extremity: These symptoms might suggest a neurological issue but are not related to compartment syndrome, which is localized to the affected limb and involves pressure within a muscle compartment.
B. Severe, increasing pain that is not relieved with opioids: This is a hallmark sign of compartment syndrome. The pain is disproportionate to the injury and does not respond to usual pain management, indicating increased pressure within the compartment.
C. Absence of pain in the affected extremity: Absence of pain is not a symptom of compartment syndrome. In fact, severe pain is one of the primary symptoms, along with other signs like swelling and decreased sensation.
D. Increased pain in the affected extremity upon ambulation: While pain with movement can occur with many conditions, in compartment syndrome, the severe pain typically occurs regardless of movement and is related to the pressure within the muscle compartment, not just with ambulation.

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Correct Answer is A

Explanation

A. TIA: A transient ischemic attack (TIA) is characterized by temporary symptoms due to a brief period of reduced blood flow to the brain, with no lasting damage.
B. Stroke: A stroke involves a more prolonged interruption of blood flow to the brain and typically results in permanent neurological damage.
C. CVA: Cerebrovascular accident (CVA) is another term for stroke, involving sustained damage.
D. OSAH: This is not a relevant term or acronym for the condition described. It is not related to cerebral circulation impairment.

A. Reduce dietary purines. B. Begin a jogging program. C. Maintain ideal body weight. D. Maintain normal uric acid levels

Correct Answer is C

Explanation

A. Reduce dietary purines.: This is more relevant for patients with gout, not osteoarthritis. Purine reduction helps control uric acid levels.
B. Begin a jogging program.: High-impact exercises like jogging can exacerbate knee pain and accelerate joint degeneration in osteoarthritis.
C. Maintain ideal body weight.: Maintaining an ideal body weight reduces stress on the knees and helps preserve joint function and delay the progression of osteoarthritis.
D. Maintain normal uric acid levels.: Uric acid levels are related to gout, not osteoarthritis. Maintaining normal levels does not directly affect osteoarthritis.

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The nurse is caring for a patient with a blunt trauma and tissue injury to the lower extremity. Which signs could develop in a patient with compartment syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the term or acronym for a temporary impairment of cerebral circulation that causes symptoms lasting minutes to hours but results in no permanent neurological changes?

Correct Answer is A

Explanation

A patient with osteoarthritis who had a right total knee replacement tells the nurse that the other knee is becoming painful. Which of the following is the most appropriate instruction to help the patient preserve function of the left knee?

Correct Answer is C

Explanation

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