a client on bed rest complains of pain and burning in the right calf area what is the nurses action

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client on bed rest complains of pain and burning in the right calf area. What is the nurse's action?

A. Deeply palpate the area for rebound tenderness
B. Medicate the client for pain and reassess in 60 minutes
C. Percuss over the area for a change in tone
D. Compare the circumference to the left calf

Correct answer: D

Rationale:

2. The mother of a newborn baby is concerned that the baby will develop illnesses from being around people from outside of their family. What is the nurse's best response?

A. "You should never go around people after your baby is born,"?
B. "Why do you think that is a bad idea?"?
C. "Tell me more about that."?
D. "I did that, and my kids turned out just fine."?

Correct answer: C

Rationale:

3. What complication of fractures is caused by increased pressure which can result in decreased circulation to the area?

A. Venous thromboembolism
B. Acute compartment syndrome
C. Fat embolism syndrome
D. Hemorrhage

Correct answer: B

Rationale: Acute compartment syndrome is the correct answer. It involves increased pressure within muscles, leading to decreased blood flow and tissue damage. Venous thromboembolism (Choice A) is a condition where a blood clot forms in a vein, usually in the leg. Fat embolism syndrome (Choice C) occurs when fat globules enter the bloodstream and block blood vessels. Hemorrhage (Choice D) refers to bleeding, which can occur with fractures but does not specifically involve increased pressure leading to decreased circulation as in acute compartment syndrome.