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

A. Pressure injury
B. Contractures
C. Glucose intolerance
D. Incontinence

Correct answer: B

Rationale: Contractures are a negative effect of immobility on the musculoskeletal system.

3. A client with acquired immunodeficiency syndrome (AIDS) has pneumocystis carinii (PCP). What is the nurse's priority assessment for this client?

A. Skin turgor
B. Lung sounds
C. Radial pulses
D. Capillary refill

Correct answer: B

Rationale:

4. A nurse is caring for a 25-year-old male quadriplegic client. Which of the following treatments would the nurse perform to decrease the risk of joint contracture and promote joint mobility?

A. Administer glucosamine supplements
B. Turn the client every 2 hours
C. Provide active range of motion (ROM)
D. Provide passive range of motion (ROM)

Correct answer: D

Rationale: The correct answer is to provide passive range of motion (ROM). In quadriplegic clients, who have limited or no movement of their limbs, passive ROM exercises are crucial to maintain joint mobility and prevent joint contractures. Administering glucosamine supplements (choice A) is not directly related to promoting joint mobility. Turning the client every 2 hours (choice B) is essential for preventing pressure ulcers but does not directly address joint contracture and mobility. Providing active ROM exercises (choice C) may not be suitable for quadriplegic clients as they are unable to perform these movements on their own.