the nurse is caring for a client who develops compartment syndrome from a severely fractured arm the client asks how this can happen what is the best

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse is caring for a client who develops compartment syndrome from a severely fractured arm. The client asks how this can happen. What is the best response by the nurse?

A. . "The fascia expands with injury, causing pressure on underlying nerves and muscles."?
B. "An injured artery causes impaired arterial perfusion through the compartment."?
C. "Bleeding and swelling cause increased pressure in an area that cannot expand."?
D. . "A bone fragment has injured the nerve supply in the area."?

Correct answer: C

Rationale:

2. Why is a client with osteoporosis prone to fractures?

A. The client has bone spurs that lead to fractures
B. The client has increased bone density
C. The client has porous bones
D. The client is not prone to fractures

Correct answer: C

Rationale: The correct answer is C. Osteoporosis is characterized by porous, weak bones due to decreased bone density. This porous nature of bones in osteoporosis makes them more prone to fractures. Choice A is incorrect because bone spurs do not lead to fractures in osteoporosis; they are bony outgrowths unrelated to osteoporosis. Choice B is incorrect as osteoporosis is associated with decreased, not increased, bone density. Choice D is incorrect as individuals with osteoporosis are indeed prone to fractures due to weakened bones.

3. A client with chronic osteomyelitis is being discharged from the hospital. What is the nurse’s priority discharge intervention?

A. Teaching adherence to an exercise program
B. Teaching about a healthy dietary intake
C. Teaching adherence to the antibiotic regimen
D. Scheduling daily dressing changes

Correct answer: C

Rationale: The correct answer is C: Teaching adherence to the antibiotic regimen. In chronic osteomyelitis, the priority is to ensure proper treatment of the infection, which heavily relies on consistent adherence to the prescribed antibiotic regimen. This helps in eradicating the infectious organisms and preventing recurrence. Choices A, B, and D are important aspects of care but teaching adherence to the antibiotic regimen takes precedence as it directly impacts the successful management of chronic osteomyelitis.

4. What is one of the earliest signs of fat embolism syndrome?

A. Paresthesia
B. Severe pain in the affected limb unrelieved by medication
C. Edema
D. Hypoxemia

Correct answer: D

Rationale: Hypoxemia is one of the earliest signs of fat embolism syndrome. In fat embolism syndrome, fat globules enter the bloodstream and can obstruct blood flow in the lungs, leading to hypoxemia. Paresthesia, severe pain unrelieved by medication, and edema are not typically among the earliest signs of fat embolism syndrome.