1. A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg fiberglass cast. Which of the following findings should the nurse expect?

a. Bounding distal pulses

b. Intense pain with movement

c. Capillary refill less than 2 seconds

d. Erythema of the toes

2. A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the following manifestations indicates a hemolytic transfusion reaction?

a. Bradycardia

b. Back pain

c. Chills

d. Hypertension

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