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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Consume a DASH diet.: The DASH (Dietary Approaches to Stop Hypertension) diet is effective in lowering blood pressure. It emphasizes fruits, vegetables, whole grains, and lean proteins.
B. Maintain a healthy weight.: Maintaining a healthy weight helps lower the workload on the heart and reduces blood pressure.
C. Increase moderate intensity aerobic exercise.: Regular aerobic exercise can help lower blood pressure and improve overall cardiovascular health.
D. Quit smoking.: Smoking cessation reduces the risk of hypertension and other cardiovascular diseases.
E. Increase alcohol consumption.: This is incorrect. Excessive alcohol intake can raise blood pressure and increase the risk of hypertension.
Correct Answer is C
Explanation
A. Medications: While medications are important for managing hypertension, lifestyle modifications are typically the first line of treatment.
B. Diagnostic testing: This is important for diagnosing hypertension but not a management step.
C. Lifestyle modifications: Lifestyle modifications, such as dietary changes, exercise, and smoking cessation, are the first steps in managing hypertension and can help reduce the need for medication.
D. Cardiac rehab: Cardiac rehabilitation is beneficial for patients with cardiovascular disease but is not the first step for managing hypertension.
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