what complication of fractures is caused by increased pressure which can result in decreased circulation to the area

ATI RN

Multi Dimensional Care | Final Exam

1. 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.

2. The nurse is caring for a client with rheumatoid arthritis one day after shoulder surgery. What would prompt the nurse to call the provider immediately?

A. The client refused her pain medication this morning and is doing physical therapy.
B. The client reports a minor headache and states she takes an over-the-counter pain pill at home.
C. The client reports intermittent flatus and minor abdominal discomfort.
D. The client has paresthesia in her fingers and intense increasing pain in her shoulder.

Correct answer: D

Rationale: In a client with rheumatoid arthritis one day after shoulder surgery, paresthesia in the fingers and intense increasing pain in the shoulder could indicate nerve compression or damage, which are serious post-operative complications. This situation requires immediate attention from the provider to prevent further complications and ensure appropriate management. The other options, such as refusing pain medication, reporting a minor headache, or experiencing minor abdominal discomfort, are important but not as urgent or indicative of potential serious complications as paresthesia in the fingers and intense increasing pain in the shoulder.

3. Which of the following nonpharmacological methods cannot be used to manage the chronic pain of a client with rheumatoid arthritis?

A. Adequate rest
B. Heat for 20-30 minutes
C. Hot showers
D. Ice for 2 hours at a time

Correct answer: D

Rationale:

4. What should the nurse do first if they are stuck by a needle?

A. Seek medical attention
B. Flush the exposed skin with water
C. Complete an incident report
D. Report the exposure

Correct answer: B

Rationale:

5. What is a negative effect of immobility on the cardiovascular system?

A. Increased high density lipoprotein
B. Increased circulation
C. Increased pumping action of the heart
D. Venous stasis

Correct answer: D

Rationale: Venous stasis is a negative effect of immobility on the cardiovascular system. Immobility can lead to blood pooling in the veins due to lack of movement, increasing the risk of blood clots. Choices A, B, and C are incorrect because immobility does not lead to an increase in high density lipoprotein, circulation, or the pumping action of the heart.