What is an appropriate nursing intervention for postoperative care of a patient with a fractured leg?

Apply warm compresses to the fractured leg

Encourage the patient to bear weight on the affected leg

Monitor the surgical incision for signs of infection

Assist the patient with ambulation using crutches or a walker

Answer and Explanation

The Correct Answer is C

A. Apply warm compresses to the fractured leg: Warm compresses are not typically recommended immediately after surgery due to the risk of increasing inflammation and swelling.

B. Encourage the patient to bear weight on the affected leg: Weight bearing should be done according to the physician's orders. Early weight bearing can cause complications if not appropriately timed.

C. Monitor the surgical incision for signs of infection: This is a critical nursing intervention to prevent and detect postoperative infections early.

D. Assist the patient with ambulation using crutches or a walker: Assisting with ambulation using crutches or a walker is important for safety and promoting mobility, but it should be done following weight-bearing restrictions.

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Correct Answer is C

Explanation

A. Rhabdomyolysis is caused by a viral infection: While viral infections can sometimes contribute, rhabdomyolysis is not primarily caused by them. It is usually due to muscle injury from trauma, exercise, drugs, or other factors.

B. Rhabdomyolysis is a chronic condition that cannot be treated: Rhabdomyolysis is an acute condition that can be treated, primarily by managing the complications and addressing the underlying cause.

C. Rhabdomyolysis is a condition characterized by the breakdown of muscle tissue: This is the correct definition. Rhabdomyolysis involves the breakdown of muscle tissue, releasing myoglobin into the bloodstream, which can lead to kidney damage.

D. Rhabdomyolysis is a respiratory disorder that affects lung function: Rhabdomyolysis is not a respiratory disorder. It primarily affects the muscles and kidneys.

A. Pain unrelieved by routine medications B. Elevated WBC count C. Swelling and redness of the right leg D. Decreased oxygen saturation

Correct Answer is A

Explanation

A. Pain unrelieved by routine medications: Pain unrelieved by medication is a hallmark sign of compartment syndrome, a serious condition that requires immediate intervention.
B. Elevated WBC count: An elevated WBC count indicates infection but is not a specific sign of compartment syndrome.
C. Swelling and redness of the right leg: While swelling and redness can be present, they are not specific to compartment syndrome and can occur in many other conditions.
D. Decreased oxygen saturation: Decreased oxygen saturation is more commonly associated with respiratory or cardiac issues and is not specific to compartment syndrome.

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What is an appropriate nursing intervention for postoperative care of a patient with a fractured leg?

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Naxlex Comprehensive Predictor Exams

Which of the following statements about rhabdomyolysis is true?

Correct Answer is C

Explanation

A nurse is monitoring a client who has a cast on her right ankle following an open reduction and internal fixation procedure. The nurse should monitor for which of the following findings to identify compartment syndrome?

Correct Answer is A

Explanation

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