Patients with musculoskeletal injury are at increased risk for compartment syndrome. What is an initial symptom of a suspected compartment syndrome?
a. Absence of pulse in affected extremity
b. Pallor in the affected area
c. Paresthesia in the affected area
d. Severe, throbbing pain in the affected area
D
Patients with compartment syndrome complain of increasing throbbing pain disproportionate to the injury. Narcotic administration does not relieve the pain. The pain is localized to the involved compartment and increases with passive muscle stretching. The area affected is firm. Paresthesia distal to the compartment, pulselessness, pallor, and paralysis are late signs and must be reported immediately to prevent loss of the extremity.
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A client is scheduled to have a tumor of the middle ear removed. What teaching topic is most important for the nurse to cover?
a. Expecting hearing loss in the affected ear b. Managing postoperative pain c. Maintaining NPO status prior to surgery d. Understanding which medications are allowed the day of surgery
A hospital plans to share data with all physician offices that utilize their facilities. Which of the following approaches would best meet the need?
1. Internet 2. Intranet 3. Web portal 4. Extranet
The nurse is performing nutritional assessments on four older adult clients. What assessment data should indicate to the nurse a potential complication associated with a compromised nutritional status?
a. The client who routinely eats meals with a spouse. b. The client who eats several small meals a day. c. The client who drinks a milkshake-like dietary supplement with every meal. d. The client who has two snacks daily of cheese and almonds.
The nurse is admitting a new client to the unit. The client is 17 years old and weighs 120 pounds. What is her basal metabolic rate (BMR) using the rule-of-thumb guideline?
A) 600 B) 900 C) 1200 D) 1800