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Early Detection of Compartment Syndrome

  1.  
    True or False: Acute compartment syndrome (ACS) is an orthopedic emergency?
    A. False B. True
  2.  
    The nurse in the article realizes it is essential to complete which of the following (select all that apply):
    A. Remove the circumferential wrap holding the splint B. Page the orthopedic surgeon C. Elevate both arms above the heart D. Call physical therapy E. Rapid response team activation F. Elevate the patient's right arm above the heart
  3.  
    What did the orthopedic surgeon hear upon using the doppler ultrasound?
    A. Faint, weak radial pulse in the right extremity B. Faint, weak radial pulse in the left extremity C. Faint, weak pulses in both upper extremities D. Bounding, strong radial pulse in right extremity
  4.  
    What does a fasciotomy restore?
  5.  
    How long are the wounds from a fasciotomy usually left open?
  6.  
    What are the 5 P's that should be assessed when ACS is being considered?
    A. Paralysis B. Pain (disproportionate) C. Pallor D. Pulselessness E. Positioning F. Potty G. Paresthesia
  7.  
    ACS develops as a result of increased pressure within an anatomic compartment, which can lead to what?
Answer Key
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Early Detection of Compartment Syndrome (Answer Key)

  1.  
    True or False: Acute compartment syndrome (ACS) is an orthopedic emergency?
    A. False B. True
  2.  
    The nurse in the article realizes it is essential to complete which of the following (select all that apply):
    A. Remove the circumferential wrap holding the splint B. Page the orthopedic surgeon C. Elevate both arms above the heart D. Call physical therapy E. Rapid response team activation F. Elevate the patient's right arm above the heart
  3.  
    What did the orthopedic surgeon hear upon using the doppler ultrasound?
    A. Faint, weak radial pulse in the right extremity B. Faint, weak radial pulse in the left extremity C. Faint, weak pulses in both upper extremities D. Bounding, strong radial pulse in right extremity
  4.  
    What does a fasciotomy restore?
    Arterial Flow
  5.  
    How long are the wounds from a fasciotomy usually left open?
    4 days
  6.  
    What are the 5 P's that should be assessed when ACS is being considered?
    A. Paralysis B. Pain (disproportionate) C. Pallor D. Pulselessness E. Positioning F. Potty G. Paresthesia
  7.  
    ACS develops as a result of increased pressure within an anatomic compartment, which can lead to what?
    Decreased or absent blood flow to muscle and nerve cells

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