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.
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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Related Questions
Correct Answer is A
Explanation
A. Defibrillation
Defibrillation is the immediate life-saving intervention for V-fib. It must be done as soon as possible.
B. Epinephrine administration
Epinephrine is important but is secondary to immediate defibrillation in the cardiac arrest algorithm.
C. Airway management
Important, but circulation and defibrillation take precedence in V-fib.
D. Amiodarone administration
Used after defibrillation attempts and epinephrine if rhythm persists. Not the first priority.
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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