The nurse is caring for a preschool child with a cast applied recently for a fractured tibia. Which assessment finding indicates possible compartment syndrome?

Pain responding well to prescribed dose of Morphine.

ltching unrelieved by Diphenhydramine (Benadryl administration.

Lower extremities temperature cool bilaterally.

Tingling in the toes of fractured extremity and decreased sensation.

Answer and Explanation

The Correct Answer is D

Compartment syndrome is a condition characterized by increased pressure within a muscle compartment, leading to impaired blood flow and potential tissue damage. It can occur when swelling or bleeding within a confined space, such as a cast, causes increased pressure on the surrounding tissues.

Tingling in the toes and decreased sensation can be indicative of nerve compression or damage due to increased pressure in the compartment. It is important to recognize these neurological changes as potential signs of compartment syndrome.

Signs and symptoms of compartment syndrome may include:

Severe pain that is out of proportion to the injury or not relieved by pain medication.
Swelling and tightness in the affected area.
Numbness or tingling.
Pale or cool skin over the affected area.
Weakness or decreased sensation in the affected limb.
In severe cases, paralysis or loss of pulse in the affected area.

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Correct Answer is C

Explanation

Nitroprusside is a potent vasodilator medication used to rapidly reduce blood pressure in hypertensive emergencies. Its primary action is to dilate blood vessels, leading to a decrease in systemic vascular resistance and subsequent reduction in blood pressure.

Monitoring the client's blood pressure is crucial during the administration of nitroprusside to ensure that the medication is achieving the desired effect and that blood pressure is being appropriately controlled. The nurse will assess blood pressure frequently to adjust the infusion rate and titrate the medication to achieve the desired therapeutic effect while avoiding hypotension or other adverse effects.

A. Antibiotics will help your child urinate more easily B. "Antibiotics will control the autoimmune process your child is experiencing C. The antibiotics will decrease the risk for urinary tract infections. D. The antibiotics will cure the VUR if taking long term

Correct Answer is C

Explanation

Vesico-Ureteral Reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and potentially up to the kidneys. This can increase the risk of urinary tract infections (UTIs) and potential kidney damage. By taking antibiotics for a longer duration, the aim is to prevent or reduce the occurrence of UTIs. Antibiotics help to eliminate or control bacterial growth in the urinary tract, reducing the risk of infection and associated complications. It is important to clarify that long-term antibiotic use does not cure VUR but rather helps manage the risk of UTIs.

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The nurse is caring for a preschool child with a cast applied recently for a fractured tibia. Which assessment finding indicates possible compartment syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering nitroprusside by IV infusion for a client in hypertensive emergency. The nurse knows that the primary assessment will be:

Correct Answer is C

Explanation

A child with a new diagnosis of Vesico-Uretal-Reflux VUR) is being discharged with a long term prescription for antibiotics. The parents ask why their child will be taking antibiotics for a long time. The nurse's best response is ...

Correct Answer is C

Explanation

In order to prevent dumping syndrome after Gastric Bypass surgery, the nurse will instruct the client to....

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