ATI Pediatrics Proctored | Nurselytic

Questions 70

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Extract:

A child with multiple closed fractures of the lower extremities


Question 1 of 5

A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hr after the injury occurred?

Correct Answer: B

Rationale: The correct answer is B: Compartment syndrome. After a traumatic injury like closed fractures, there is a risk of compartment syndrome due to increased pressure within muscle compartments, leading to impaired blood flow and tissue damage. Monitoring for compartment syndrome is crucial within the first 24 hours to prevent long-term complications. Osteomyelitis (
A) is an infection of the bone that typically develops over a longer period, not immediately after the injury. Volkmann ischemic contracture (
C) refers to a severe complication of untreated compartment syndrome, not an immediate risk within 24 hours. Renal calculi (
D) are unrelated to the lower extremity fractures and would not be a primary concern in this scenario.

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Question 2 of 5

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Question 5 of 5

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