A nurse is caring for a client who experienced a femur fracture 8 hr ago and now reports sudden onset dyspnea and severe chest pain. Which of the following actions should the nurse take first?

Provide high-flow oxygen.

Administer an IV vasopressor medication.

Monitor the client for headache.

Check the client for a positive Chvostek's sign.

Answer and Explanation

The Correct Answer is A

A. Provide high-flow oxygen
The client may have a fat embolism. Oxygenation is the priority to prevent hypoxia and support vital organs.

B. Administer IV vasopressor
Vasopressors may help hypotension, but oxygenation comes first.

C. Monitor for headache
Headache is not the primary concern here.

D. Check for Chvostek’s sign
Chvostek’s sign is for hypocalcemia, unrelated to this emergency.

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Correct Answer is C

Explanation

A. Thioridazine and drowsiness
A common side effect, not urgent.

B. Olanzapine and dizziness
Orthostatic hypotension-monitor, but not emergent.

C. Clozapine and flu-like symptoms
Could indicate agranulocytosis, a life-threatening condition-requires immediate evaluation.

D. Chlorpromazine and vomiting
Requires monitoring, but not as urgent as option C.

A. Hirsutism B. Goiter C. Polydipsia D. Polyuria

Correct Answer is B

Explanation

A. Hirsutism
Hirsutism is excessive hair growth often related to Cushing’s syndrome or androgen excess, not Graves’ disease.

B. Goiter
Graves’ disease often leads to thyroid gland enlargement (goiter) due to overstimulation.

C. Polydipsia
Polydipsia is typically associated with diabetes mellitus or diabetes insipidus, not Graves’ disease.

D. Polyuria
Like polydipsia, polyuria is more common in diabetes and not a typical symptom of Graves’ disease.

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A nurse is caring for a client who experienced a femur fracture 8 hr ago and now reports sudden onset dyspnea and severe chest pain. Which of the following actions should the nurse take first?

Nursing Test Bank

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