the nurse is caring for a client who develops compartment syndrome from a severely fractured arm the client asks how this can happen what is the best

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse is caring for a client who develops compartment syndrome from a severely fractured arm. The client asks how this can happen. What is the best response by the nurse?

A. . "The fascia expands with injury, causing pressure on underlying nerves and muscles."?
B. "An injured artery causes impaired arterial perfusion through the compartment."?
C. "Bleeding and swelling cause increased pressure in an area that cannot expand."?
D. . "A bone fragment has injured the nerve supply in the area."?

Correct answer: C

Rationale:

2. The mother of a newborn baby is concerned that the baby will develop illnesses from being around people from outside of their family. What is the nurse's best response?

A. "You should never go around people after your baby is born,"?
B. "Why do you think that is a bad idea?"?
C. "Tell me more about that."?
D. "I did that, and my kids turned out just fine."?

Correct answer: C

Rationale:

3. What is a negative effect of immobility on the cardiovascular system?

A. Increased high density lipoprotein
B. Increased circulation
C. Increased pumping action of the heart
D. Venous stasis

Correct answer: D

Rationale: Venous stasis is a negative effect of immobility on the cardiovascular system as it can lead to blood clots.

4. What should the nurse do first if they are stuck by a needle?

A. Seek medical attention
B. Flush the exposed skin with water
C. Complete an incident report
D. Report the exposure

Correct answer: B

Rationale:

5. The client moves both crutches forward, with weight on the unaffected leg, and then moves the unaffected leg forward, shifting weight onto it. Which of the following gaits is being utilized?

A. Two-point gait
B. Three-point gait
C. Four-point gait
D. Unaffected gait

Correct answer: B

Rationale: The correct answer is B, Three-point gait. In a three-point gait, one leg is non-weight bearing, as described in the scenario where the client shifts weight onto the unaffected leg. Choices A, C, and D are incorrect. A two-point gait involves partial weight-bearing on both legs, a four-point gait involves weight-bearing on both legs, and 'Unaffected gait' is not a recognized term in gait patterns.