A nurse is performing a shift assessment on an elderly client who is recovering after surgery for a femur fracture. The client reports chest pain. The RN notes an increased heart rate and respiratory rate. The nurse further notes that the client is febrile and hypoxic, coughing and producing large amounts of thick, white sputum. The nurse recognizes this is a medical emergency and calls for assistance. acknowledging that this client is likely demonstrating symptoms of what complication?
Complex regional pain syndrome
Avascular necrosis of bone
Compartment syndrome
Fat embolism syndrome
The Correct Answer is D
Rationale:
A. Complex regional pain syndrome presents as chronic, severe pain and sensitivity in a limb, but it is not associated with respiratory symptoms or fever.
B. Avascular necrosis is a gradual condition resulting from loss of blood supply to bone tissue, not an acute emergency with respiratory and systemic signs.
C. Compartment syndrome presents with severe limb pain, pallor, and pulselessness, but does not cause respiratory distress or fever.
D. Fat embolism syndrome (FES) is a serious complication often seen after long bone fractures like femur fractures. Symptoms include chest pain, tachycardia, tachypnea, fever, hypoxia, and thick white sputum. It is a medical emergency requiring immediate intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Moderate alcohol intake (e.g., a glass of wine daily) is not a primary risk factor, though excessive alcohol use may contribute to gastric irritation.
B. Bulimia can cause GI issues like esophagitis, but it is not a primary risk factor for peptic ulcers.
C. Green tea is not known to contribute to peptic ulcer development.
D. Chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs) is a well-established risk factor for peptic ulcers, as they inhibit prostaglandin synthesis, reducing the protective lining of the stomach.
Correct Answer is D
Explanation
Rationale:
A. Pain radiating to the left shoulder and worsening with deep breathing (Kehr’s sign) is more indicative of splenic injury, not appendicitis.
B. Pain from appendicitis typically worsens with movement and does not improve with eating; improvement with food is more characteristic of peptic ulcer disease.
C. Left lower quadrant pain is more consistent with diverticulitis, not appendicitis.
D. Right lower quadrant pain at McBurney's point with rebound tenderness is a hallmark sign of acute appendicitis, making this the most indicative finding.
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