The nurse is caring for a client who has sustained multiple injuries, including a fractured pelvis and femur. Two days later, the client becomes restless and confused. The nurse notes petechiae on the client's neck and chest. The nurse should expect which physician order?
Enzymatic medication
Oxygen therapy
Anti-coagulation therapy
Physical therapy
"Safe gradual weight loss will decrease stress on your joints."
The Correct Answer is B
A. Enzymatic medications are not relevant to this condition.
B. Oxygen therapy is critical as these symptoms suggest fat embolism syndrome, which impairs oxygenation.
C. Anticoagulation therapy is not appropriate for fat embolism syndrome, which differs from thromboembolism.
D. Physical therapy is not an immediate intervention for this acute condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Alendronate should be taken in the morning on an empty stomach to ensure proper absorption.
B. Tingling around the mouth and nose is not a typical or expected side effect of alendronate.
C. Lying down after taking alendronate can cause esophageal irritation, so the client should remain upright for at least 30 minutes.
D. Drinking water helps with swallowing and ensures the medication reaches the stomach.
E. Chewing alendronate tablets is contraindicated, as it can increase the risk of esophageal irritation.
Correct Answer is ["A","E"]
Explanation
A. Side-lying on the unaffected side with pillows between the legs can maintain proper hip alignment and prevent dislocation, which is critical after a hip replacement.
B. Side-lying on the affected side could cause risk of hip dislocation and is not recommended.
C. The "on hands and knees" position should be avoided as it may place strain on the hip joint and cause dislocation.
D. "Client on top" is typically not recommended as it can lead to excessive flexion or rotation of the hip, which could lead to dislocation.
E. Lying supine can also be a safe position if the client avoids bending the hip past 90 degrees, which could cause dislocation.
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