A child who has fractured his forearm is unable to extend his fingers. The nurse knows that this:
a. is normal following this type of injury.
b. may indicate compartmental syndrome.
c. may indicate fat embolism.
d. may indicate damage to the epiphyseal plate.
B
Swelling causes pressure to rise within the immobilizing device leading to compartmental syndrome. Signs include severe pain, often unrelieved by analgesics, and neurovascular impairment. It is not uncommon in the forearm, so the inability to extend the fingers may indicate compartmental syndrome. It is not normal that the child is unable to extend his fingers; this indicates neurovascular compromise of some type. Paresthesia or numbness or loss of feeling can indicate a neurovascular compromise and can result in paralysis. Fat embolism causes respiratory distress with hypoxia and respiratory acidosis. Paresthesia is not related to damage to the epiphyseal plate.
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Which of the following should the nurse use during an admission interview?
A) Give the client suggestions for the answers and avoid making eye contact during the interview. B) Allow the client ample time to answer each question and maintain eye contact. C) Set a time limit to answer each question and proceed to the next question if the client fails to do so. D) Provide the client with a self-help guide to look for answers and maintain eye contact occasionally.
A nurse implements nursing interventions considering the uniqueness of the person's culture. Which of the following best describes this action?
a. Cultural diversity b. Cultural knowledge c. Cultural competence d. Cultural awareness
The client has been diagnosed with hepatitis B. Which statement indicates to the nurse that the client needs more education? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. "This infection could be sexually transmitted." 2. "I might get jaundiced from this illness." 3. "An immunization exists to prevent getting hepatitis B." 4. "I might have gotten this infection from food." 5. "The incubation period is 15-50 days."
The term fight-or-flight response was coined by ____________________
Fill in the blank(s) with correct word