A nurse is caring for a group of clients who are 12 hr postoperative. The nurse should identify that the client who had which of the following procedures is at risk for developing fat embolism syndrome?

Repair of a torn rotator cuff<br>

Tympanoplasty

Internal fixation of a fractured hip

Thyroidectomy

Answer and Explanation

The Correct Answer is C

C. This procedure involves manipulation of bones and potential disruption of fatty tissue, which can lead to the release of fat emboli into the bloodstream, predisposing the client to fat embolism syndrome.

A This procedure involves surgical repair of the tendons in the shoulder. It does not typically involve manipulation of long bones or significant exposure to fatty tissue.

B. Tympanoplasty is a surgical procedure to repair a perforated eardrum. It does not involve manipulation of bones or exposure to fatty tissue.

D. Thyroidectomy is the surgical removal of part or all of the thyroid gland. It does not involve manipulation of long bones or exposure to fatty tissue.

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Correct Answer is B

Explanation

B. Red drainage from an NG tube can indicate fresh bleeding. While some blood in the immediate postoperative period may be expected, 100 mL is a significant amount for the first hour.

A Brown drainage from an NG tube in the immediate postoperative period can indicate the presence of old blood or bile. It is within a reasonable amount for the first hour postoperatively

C. Serosanguineous drainage is a mix of serum and blood, which can be normal in the early postoperative period.

D. Greenish-yellow drainage from an NG tube can indicate the presence of bile, which is also within the range of expected findings postoperatively.

A. Generalized abdominal pain B. Increased heart rate C. Cloudy effluent D. Fever

Correct Answer is C

Explanation

C. Cloudy effluent is one of the earliest and most specific signs of peritonitis. It warrants immediate evaluation and diagnostic testing to confirm the diagnosis and initiate appropriate treatment.

A Generalized abdominal pain is a common symptom of peritonitis but may not be the earliest indication.

B. Tachycardia (increased heart rate) can occur in response to infection or inflammation, including peritonitis. It is a systemic response rather than a localized symptom.

D. Fever can also be associated with peritonitis but may appear later and is not as specific early indicators

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A nurse is caring for a group of clients who are 12 hr postoperative. The nurse should identify that the client who had which of the following procedures is at risk for developing fat embolism syndrome?

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