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2024 NCLEX COMPARTMENT SYNDROME EXAM WITH CORRECT ANSWERS
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2024 NCLEX COMPARTMENT SYNDROME EXAM WITH CORRECT ANSWERS
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2024 NCLEX COMPARTMENTSYNDROME EXAM WITH
CORRECT ANSWERS
A client who has sustained a crush injury to the right lower leg reports
numbness and tingling of the affected extremity. The skin of the right leg
appears pale. Which is the nurse's first intervention?
a. Assess pedal pulses.
b. Apply oxygen by nasal cannula.
c. Increase the IV flow rate.
d. Document the finding. - CORRECT ANSWERS-A. Assess pedal pulses
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. If the nurse finds a decrease in pedal
pulses, the health care provider should be notified as soon as possible.
A client has an arm cast and reports that it feels really tight and the fingers
are puffy. What is the nurse's best response?
a. "Elevate your arm on two pillows and apply ice to the cast."
b. "Continue to take ibuprofen (Motrin) until the swelling subsides."
c. "It is normal for a new cast to feel a little tight for the first few days."
d. "Please come to the clinic today to have your arm checked by the health
care provider." - CORRECT ANSWERS-D. "Please come to the clinic today to
have your arm checked by the health care provider.
Puffy fingers and a feeling of tightness from the cast may indicate the
development of compartment syndrome. The client should come to the clinic
that day to be evaluated by the provider because delay of treatment can
cause permanent damage to the extremity. Ice and Motrin are acceptable
actions, but checking the cast is the priority because it ensures client safety.
The nurse should not just reassure the client that this is normal.
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