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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Ambulating soon after surgery is encouraged to promote circulation and decrease the risk of VTE.

B. Massaging the legs is unsafe, as it can dislodge any existing clot, potentially leading to a pulmonary embolism.

C. Elevating the feet helps improve venous return and is a safe practice to reduce VTE risk.

D. Flexing the ankles is part of exercises that help promote blood flow and reduce clot formation risk.

A. Headache B. Hiccoughs C. Absence of urge to void D. Numbness in the legs

Correct Answer is A

Explanation

A. A headache is a common complication of spinal anesthesia, resulting from cerebrospinal fluid leakage at the puncture site.

B. Hiccoughs are not typically associated with spinal anesthesia complications.

C. An absence of urge to void may occur post-spinal anesthesia but is generally expected rather than a sign of complication.

D. Numbness in the legs is an anticipated effect post-spinal anesthesia, not necessarily indicating a complication.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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