which preventive measure can be employed to decrease the risk of compartment syndrome

HESI LPN

Leadership and Management HESI Quizlet

1. Which preventive measure can be employed to decrease the risk of compartment syndrome?

A. The administration of a potassium-sparing diuretic for heart failure
B. A bivalve cast for a skeletal fracture
C. A cerebral diuretic to decrease intracranial pressure after a head injury
D. A chest tube to restore normal intrathoracic pressure after a pneumothorax

Correct answer: B

Rationale: The correct answer is B. A bivalve cast can help decrease the risk of compartment syndrome by providing space for swelling, thus preventing the build-up of pressure within the muscles. Choices A, C, and D are incorrect because they are not directly related to preventing compartment syndrome. Choice A is more focused on managing heart failure, choice C on reducing intracranial pressure, and choice D on restoring intrathoracic pressure after a pneumothorax, which are not relevant to preventing compartment syndrome.

2. Low birth weight is defined as a newborn's weight of:

A. 2500 grams or less at birth, regardless of gestational age.
B. 1500 grams or less at birth, regardless of gestational age.
C. 2500 grams or less at birth, according to gestational age.
D. 1500 grams or less at birth, according to gestational age.

Correct answer: A

Rationale: Low birth weight is defined as 2500 grams or less at birth, regardless of gestational age. This means that any newborn weighing 2500 grams or less is considered to have a low birth weight, irrespective of how many weeks they were in the womb. Choices B, C, and D are incorrect because they specify a weight of 1500 grams or less, which is not the standard definition of low birth weight. The correct definition is 2500 grams or less, not influenced by gestational age.

3. Which of the following is considered an internal disaster?

A. A patient fall
B. The massive spread of pneumonia
C. A computer hacking episode
D. Unexpected staff absences due to illness

Correct answer: C

Rationale: A computer hacking episode is considered an internal disaster as it disrupts the internal operations of the healthcare facility, compromising data security and potentially impacting patient care. Choices A, B, and D do not directly relate to internal disasters in a healthcare setting. A patient fall is a patient safety issue, the massive spread of pneumonia is a public health concern, and unexpected staff absences due to illness may affect staffing levels but are not typically classified as internal disasters.

4. A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?

A. If you have the procedure now, you won't have to deal with pain and disability later.
B. You'll be fine. You'll receive a prescription for pain medication.
C. Why didn't you discuss your concerns with your provider?
D. I understand and it's not too late to change your mind.

Correct answer: D

Rationale: The appropriate response acknowledges the client's concern and confirms that they have the right to change their mind.

5. Your 54-year-old male HIV-positive patient has just expired. How should you care for this deceased patient?

A. Bathe the patient, but it is still necessary to use standard precautions because the patient is deceased.
B. Place the patient in a negative pressure isolated area of the morgue.
C. Double shroud the patient to prevent the spread of infection.
D. Bathe the patient using the same standard precautions you used when he was alive.

Correct answer: D

Rationale: Even after a patient has expired, standard precautions should be maintained to prevent the spread of infection. Bathing the deceased patient should be done using the same standard precautions followed when the patient was alive. This includes using personal protective equipment and following proper infection control procedures. Choices A, B, and C are incorrect because standard precautions must still be adhered to even after the patient has passed away to ensure safety and prevent the transmission of infections.