A nurse is caring for a client who has a femur fracture. The nurse suspects that the client has fat embolism syndrome. Which of the following findings should the nurse identify as an early manifestation of fat embolism syndrome?

Hypoxemia

Headache

Petechiae

Precordial chest pain

Answer and Explanation

The Correct Answer is A

A. Hypoxemia is an early sign of fat embolism syndrome due to the presence of fat globules in the pulmonary circulation.

B. Headache can be associated with hypoxemia but is not as specific or immediate as hypoxemia itself.

C. Petechiae, while a classic sign, usually appear later in the progression of fat embolism syndrome.

D. Precordial chest pain may occur but is not typically the first sign; hypoxemia is usually noted first.

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Correct Answer is B

Explanation

A. Obtaining a dietary history is relevant for ongoing management but is not the initial priority.

B. Reviewing electrolyte values is essential because exacerbations of ulcerative colitis can lead to severe fluid and electrolyte imbalances, which need prompt correction.

C. Investigating emotional concerns is important but does not take precedence over addressing potential electrolyte imbalances that can be life-threatening.

D. Checking perianal skin integrity is relevant for comfort but is not the priority in stabilizing the client during an acute exacerbation.

A. Offer the client the bedpan every 2 hr. B. Cleanse the perineum from back to front. C. Obtain a prescription for an indwelling urinary catheter. D. Encourage fluid intake at and between meals.

Correct Answer is D

Explanation

A. Offering the bedpan every 2 hours helps manage elimination but does not specifically reduce the risk of urinary tract infections (UTIs).

B. Cleansing from back to front increases the risk of contamination from the anal area and is incorrect hygiene practice.

C. An indwelling catheter can increase the risk of UTIs, so intermittent catheterization is generally preferred.

D. Encouraging fluid intake helps flush the urinary system, reducing the risk of bacterial growth that can lead to UTIs.

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A nurse is caring for a client who has a femur fracture. The nurse suspects that the client has fat embolism syndrome. Which of the following findings should the nurse identify as an early manifestation of fat embolism syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Á nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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