A client who sustained a crush injury to the right lower leg in a farm tractor accident complains of numbness and tingling of the affected extremity. The skin of the right leg ap-pears pale and the pedal pulse is weak
What should be the nurse's first response? A. Notify the physician.
B. Loosen the dressing.
C. Increase the IV flow rate.
D. Document the finding as the only action.
A
The symptoms represent early warning of acute compartment syndrome. In acute compartment syndrome, sensory deficits such as paresthesias precede changes in vascular or motor signs. This is an emergency, and the physician should be notified immediately.
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1. 1 pint 2. 1.5 pints 3. 2 pints 4. 2.5 pints
The student learning about therapeutic communication techniques knows that the most important concept in the definition of communication is
a. exchanging. b. messages. c. receiver. d. sender.
The nurse is teaching a community course at a local senior citizen center regarding tuberculosis. The nurse would be correct in informing the class that clients acquire Mycobacterium tuberculosis by which route?
1. Sexual transmission 2. Fecal/oral 3. Respiratory droplets 4. Hand-to-hand contact
After administering a medication, the nurse notes that the client has itching and a runny nose. What is the nursing priority?
1. Document the findings 2. Assess vital signs 3. Notify the charge nurse 4. Monitor the client closely