The nurse is caring for a preschool child with a cast applied recently for a fractured tibia. Which assessment findings indicate possible compartment syndrome? (Select all that apply.)
a. Palpable distal pulse
b. Capillary refill to extremity less than 3 seconds
c. Severe pain not relieved by analgesics
d. Tingling of extremity
e. Inability to move extremity
ANS: C, D, E
Indications of compartment syndrome are severe pain not relieved by analgesics, tingling of extremity, and inability to move extremity. A palpable distal pulse and capillary refill to the extremity less than 3 seconds are expected findings.
You might also like to view...
DMFN is calculated using the same formula regardless of how much the patient weighs
Indicate whether the statement is true or false
A nurse knows teaching has been effective when the client states the following:
A) "If my sensitivity to glare decreases and my contrast sensitivity increases, I will be evaluated for cataracts." B) "I wear sunglasses and a wide-brimmed hat when I am in the sun to protect my eyes and prevent the development of cataracts." C) "Having Alzheimer disease increases one's risk of developing macular degeneration." D) "If I take ototoxic medications, this will increase my risk for developing cataracts."
An employee of the National Institute for Mental Health would most likely be involved in the:
a. Expansion of psychiatric units in general hospitals b. Development of education programs for community mental health treatment c. Legislation and advocacy for the rights of people with mental disorders d. Deinstitutionalization of patients
The LPN is assigned to monitor a patient with chronic lung disease who is receiving oxygen via a non-rebreathing mask. Which observation indicates to the nurse that the system is functioning as expected?
a. Both side vents open, reservoir bag inflated b. Both side vents open, reservoir bag deflated c. Both side vents closed, reservoir bag inflated d. Both side vents closed, reservoir bag deflated