A client who has a cast on the right arm develops severe pain unrelieved by the prescribed narcotic analgesic. The nurse also notes sluggish capillary refill, weak pulses, and numbness below the casted limb
The nurse should suspect the client has developed which fracture complication? a. ankylosis c. fat embolism
b. compartment syndrome d. infection
B
Compartment syndrome is a form of neurovascular impairment that may lead to permanent injury of an affected limb caused by progressive constriction of blood vessels and nerves. Signs and symptoms include severe pain unrelieved by the prescribed narcotic analgesic, sluggish capillary refill, weak pulses, and numbness below the casted limb.
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The nurse is attempting to encourage the client to verbalize concerns. What would be an appropriate opening statement?
1. "Please tell me more about your family's health history." 2. "Where would you like to begin?" 3. "I'm curious to know more about your feelings." 4. "Why do you feel that way?"
When the nurse is assessing the client's ability to receive and process stimuli through sensory organs, this is evaluating the client's:
a. sensation c. cognition b. perception d. awareness
You are a nurse manager in a facility that is part of a national system of specialized hospitals that provide services to children and that is funded and managed through a religious charity organiza-tion
This system emphasizes compassionate, faith-based care. What level of consolidated system is represented in this example? a. First level b. Second level c. Fourth level d. Fifth level
An instructor explains that the microorganism Rickettsia rickettsii causes Rocky Mountain spotted fever. A student demonstrates understanding of the subject by stating:
1. "Rocky Mountain spotted fever is spread by ticks." 2. "Rocky Mountain spotted fever is caused by eating undercooked ground meat." 3. "Rocky Mountain spotted fever is caused by spores that live in dead tissue." 4. "Rocky Mountain spotted fever can lie dormant in nerve endings for years."