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    Hesi RN exit proctored examQuestion 60
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    Hesi RN exit proctored exam

    Exhibits Choose the most likely options for the information missing from the statements by selecting from the lists of options provided. Based on the client's condition, the priority need will be to addressdropdown. In addition, he will need interventions to preventdropdown.

    Explanation & Rationale

    Rationale: Pain: The client is reporting intense pain (10 on a 0 to 10 scale) in his left arm, and he is unable to move it. This suggests a possible fracture or significant soft tissue injury. Managing this pain is the priority to ensure the client’s comfort and prevent further complications. Compartment syndrome: Given the swelling, bruising, and coolness to the touch in the left arm, compartment syndrome is a serious risk. This occurs when swelling or bleeding in a muscle compartment increases pressure, potentially compromising blood flow to muscles and nerves. Immediate interventions are required to prevent tissue damage. Rationale for Incorrect Options: Swelling: While swelling is present, it is a natural part of the healing process and not the primary concern in this case. The risk of compartment syndrome is much more urgent than managing swelling. Mobility: The client’s mobility is impaired due to pain, but pain management must be prioritized before focusing on restoring mobility. Only once pain is controlled should mobility be addressed. Fat embolism syndrome: Although fat embolism syndrome is a risk in traumatic fractures, especially with long bone injuries, the symptoms of this client (swelling, bruising, cool arm) point more directly to the risk of compartment syndrome rather than fat embolism syndrome. Venous thromboembolism (VTE): VTE is a concern in immobilized patients, but in the acute phase, compartment syndrome poses a more immediate threat. The priority is to manage the current trauma and risk for compartment syndrome before considering VTE prevention.

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