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Practice Question

The nurse is caring for a client who sustained a crushed injury to the lower extremity and has developed compartment syndrome. What intervention should the nurse plan for next?

Answer Choices:

Correct Answer:

Fasciotomy

Rationale:

🔶 A fasciotomy is the treatment of choice to relieve compartment pressure and prevent tissue necrosis.

🔶 Compartment syndrome causes compression of vessels and nerves, risking limb loss if untreated.

🔶 Clinical signs such as pain unrelieved by opioids, pallor, pulselessness, and paresthesia indicate worsening pressure.

🔶 Without timely surgical intervention, permanent neuromuscular damage can occur within hours.

🔶 This is a surgical emergency, not a vascular access or diagnostic priority.

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This question is from Med surg exam (NURSING CARE OF CLIENTS WITH COMPLEX HEALTH CONDITIONS) TEMU UNIVERSITY which contains 61 questions.

More Questions from This Exam
The nurse is monitoring a 53-year-old client who is undergoing a cardiac exercise stress test after experiencing an episode of angina. Which client finding will require the test to be discontinued?

Answer Choices:

A. Heart rate of 134 bpm
B. Mild shortness of breath
C. Three premature ventricular contractions in a row
D. Blood pressure 152/88 mmHg
A nurse is caring for client with increased intracranial pressure What is an appropriate nursing intervention for the client?

Answer Choices:

A. Maintain hyperventilation to a PaCO2 of 15 to 20mm Hg.
B. Routinely suction to prevent accumulation of respiratory secretions
C. Encourage visitation to prevent feelings of isolation.
D. Avoid positioning the client with neck and hip flexion.
A client has undergone a right femoral cardiac catheterization. What nursing action is the priority following the procedure?

Answer Choices:

A. Complete a neurovascular check of the affected extremity.
B. Perform passive range of motion.
C. Assess the gag reflex prior to feeding the client.
D. Keep the client in high Fowler's position.
The charge nurse is teaching a group of telemetry nurses about cardioversion. Which statement by the telemetry nurse would indicate that they understand the instruction about the electrical discharge?

Answer Choices:

A. It occurs immediately when buttons depressed.
B. It requires a higher amount of joules than is used in defibrillation.
C. It discharges during ventricular depolarization of the heart.
D. It is programmed to occur in non-sync mode.
From Exam
Med surg exam (NURSING CARE OF CLIENTS WITH COMPLEX HEALTH CONDITIONS) TEMU UNIVERSITY

61 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: General Exams
  • Domain: Medical-surgical📚
  • Answer Choices: 4
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