A patient with a stable, closed fracture of the humerus caused by trauma to the arm has a temporary splint with bulky padding applied with an elastic bandage
The nurse suspects compartment syndrome and notifies the health care provider when the patient experiences a. pain at the fracture site.
b. increasing warmth and redness of the skin.
c. muscle spasms of the lower arm.
d. pain when the nurse passively extends the fingers.
D
The lower leg and forearm are especially susceptible to compartment syndrome. The clinical manifestations include increased and uncontrolled pain despite narcotic analgesia, with pain aggravated by passive movement of the distal limb. Additionally, increased limb girth, shiny tight skin, slow capillary refill, skin pallor, and decreased digit sensation and movement are noted. Decreased peripheral pulse volume is a late indicator. Pain distal to the injury (not at the fracture site) that is not relieved by narcotics and pallor, as well as coolness and loss of normal color (not warmth and redness) are additional manifestations. Muscle spasms of the lower arm are not a manifestation.
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The American Association of Critical Care Nurses (AACN) funds various research projects that focus on its research priorities
A master's student wants to initiate research to study the relative accuracy of new computer-assisted assessment device that painlessly measures blood glucose values through a probe just distal to the insertion hub of a central line, in patients on insulin drips with hourly Accu-Chek readings. Does this pertain to any of the organization's research priorities, listed here? (Select all that apply.) a. Technology use to achieve patient assessment, management, or outcomes b. Prevention and management of complications c. Processes and systems that foster the optimal contribution of critical care nurses d. Creation of a healing, humane environment e. Development of processes and systems that foster the optimal contribution of critical care nurses
An older patient says, "I seem to be talking so much louder these days and I don't know why!" The nurse realizes that this patient might be experiencing:
1. loss of hair cells in the middle ear. 2. cochlear atrophy. 3. impacted cerumen. 4. stiffening of the middle ear structures.
The nurse is preparing to provide a dose of liquid oral antibiotic to a 2-year-old whose mother reports, "She doesn't like the taste of that and won't take it without a fight."
To successfully provide the medication, the nurse could appropriately do which of the following? Select all that apply. 1. Offer the child a warm bottle with the medication mixed in. 2. Offer the child a frozen juice bar before medication administration. 3. Discuss the addition of a flavoring with the pharmacist. 4. Place a syringe at the tip of the child's tongue and encourage the child to suck out the medication. 5. Place the dose in a plastic medicine cup and encourage the child to "drink it like a big girl."
A client has been prescribed a liquid medication to be taken 15 mLtid. How should the nurse instruct the client to take this medication?
1. Carefully measure the medication using any teaspoon and take one teaspoon three times per day. 2. Carefully measure the medication using any tablespoon available and take one tablespoon three times per day. 3. Carefully measure using a medical dosing device and take 15 mL, which equals one tablespoon three times per day. 4. Carefully measure using a medical dosing device and take 15 mL, which equals one teaspoon three times per day.