1- A patient has sustained a complete
1- A patient has sustained a complete fracture of the tibia and fibula as a result of the extremity being crushed in a motor vehicle crash. Which of the following clinical manifestations would the nurse anticpate the patient will exhibit? Select all that apply. Group of answer choices Edema Ability to walk on the extremity Bruising Paralysis Pain 2- Several hours later the patient is complaining of severe pain in the fractured extremity. The nurse suspects compartment syndrom. Which of the following clinical minifestation would support this suspecion? Select all that appy. Group of answer choices Capillary refill time 7 seconds Toes are pale in color Complaining of tingling sensation in foot and toes Poor skin turgor Unable to feel touchng of the toes 3_ The health care provider is notified. Which of the following diagnostic tests indicate the patient has developed compartment syndrome? Group of answer choices Elevated potassium value Decreased creatine phosphokinase (CPK) Intracompartment pressure 34 mm Hg Negative serum myoglobin 4-The patient has a fasciotomy and it admitted to the hospital. The following morning the patient puts on the call light and states, “I am urinating blood.” The nurse obtains a urine specimen and the urine is negative for RBCs. The nurse suspects the patient may be experiencing rhabdomyolysis. The nurse understands that rhabdomyolysis is: Group of answer choices The edema that occurs from bleeding which causes an increase in pressure on the cpiillaries The rapid breakdown of muscle which releases myoglobin and CK into the blood and extracellular space The byproduct of myoglobin breakdown that causes occlusion and backleak in the renal tubules The osteoclasts breaking down old bone and osterblasts building new bone 5- A nurse is caring for the following patients. Which patient has the greatest risk for the development of compartment syndrome? Group of answer choices A 72-year old patient who has a history of diabetes A 64-year old patient who is prescribed atrovastatin A 56-year old who has a history of osterporosis A 24-year old patient who has a fractured femure SCIENCE HEALTH SCIENCE NURSING HCR 240
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