A nurse is caring for a client who has a femur fracture. The nurse suspects that the client has fat embolism syndrome. Which of the following findings should the nurse identify as an early manifestation of fat embolism syndrome?
Hypoxemia
Headache
Petechiae
Precordial chest pain
The Correct Answer is A
A. Hypoxemia is an early sign of fat embolism syndrome due to the presence of fat globules in the pulmonary circulation.
B. Headache can be associated with hypoxemia but is not as specific or immediate as hypoxemia itself.
C. Petechiae, while a classic sign, usually appear later in the progression of fat embolism syndrome.
D. Precordial chest pain may occur but is not typically the first sign; hypoxemia is usually noted first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Lifelong heparin usage is not the standard treatment for DIC, as treatment focuses on addressing the underlying cause and managing symptoms.
B. DIC is a condition characterized by abnormal, excessive coagulation involving the use of clotting factors, particularly fibrinogen, leading to widespread clotting and bleeding.
C. DIC is not a genetic disorder or directly related to vitamin K deficiency.
D. DIC typically leads to a decreased platelet count due to consumption of platelets in widespread clotting, not an elevated count.
Correct Answer is ["2.5"]
Explanation
To calculate the correct dosage of liquid famotidine, the nurse needs to use the formula: (desired dose / available dose) x available volume. In this case, the desired dose is 20 mg, and the available dose is 40 mg in 5 mL. Using the formula, the calculation would be: (20 mg / 40 mg) x 5 mL = 0.5 x 5 mL = 2.5 mL. Therefore, the nurse should administer 2.5 mL of liquid famotidine every 6 hours to the client with GERD.
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