A patient, age 24, has a compartment syndrome after a fracture of his radius and ulna. Nursing assessment will include careful observation for signs and symptoms of

a. buccal petechiae.
b. thromboembolism.
c. Volkmann's contracture.
d. fat embolism.


C
Volkmann's contracture is a permanent contracture that can occur as a result of circulatory obstruction secondary to compartment syndrome.

Nursing

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A concerned parent calls the school nurse because of changes in his 15-year-old's behavior

In counseling the parents, the nurse would inform them that the behavior that is most likely to be abnormal and indicate possible substance abuse is the adolescent's: 1. Buying baggy, oversized clothing at thrift shops and dyeing her hair black. 2. Becoming very involved with friends and in activities related to the basketball team that she is on; never seeming to be home; and, when she is home, preferring to be in her room with the door shut. 3. Receiving numerous detentions lately from teachers for sleeping in class. 4. Becoming moody, crying and weeping one minute and then cheerful and excited the next.

Nursing

When maintaining medical records for a client, the nurse knows that a medical record also serves as legally admissible evidence. What should the nurse do to ensure legally defensible charting?

A) Ensure that the client's name appears on all pages. B) Leave spaces between entries and signature. C) Use abbreviations wherever possible. D) Record all facts and subjective interpretations.

Nursing

Analysis of the results of tonometry has resulted in a diagnosis of glaucoma, and the patient has been prescribed a regimen of therapeutic medications. The nurse is aware that the primary goal of these medications is to:

A) Decrease intraocular pressure (IOP) B) Maintain the integrity of the cornea C) Decrease inflammation D) Support normal function of the lacrimal glands

Nursing

In determining a study's feasibility, which of the following statements are true, regarding the time needed for study completion? (Select all that apply.)

a. Some data collection must be performed over an extended period of time, such as measurements of the depth and extent of scar tissue over 18 months. b. Sufficient subjects meeting the study criteria may be difficult to access, requiring data collection that extends for months or even years. c. The inflationary spiral makes all research funding inadequate. d. Computerized records make data analysis much less time-consuming. e. Obtaining Institutional Review Board (IRB. approval may be time-consuming, especially if the research uses more than one hospital or agency.

Nursing