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. Auscultating blood pressure may not be as reliable in burn patients due to fluid shifts and potential damage to peripheral tissues.

B. Monitoring pulmonary artery pressure provides crucial information about the cardiovascular system's status, including fluid balance and cardiac function, which are essential in the care of clients with severe burns.

C. Palpating pulse pressure alone is insufficient for thorough cardiovascular monitoring in critically ill burn patients.

D. Central venous pressure provides information about fluid status but does not offer the comprehensive cardiovascular data needed for extensive burn management.

A. I will try not to gain weight B. I will sleep with the head of my bed elevated C. I will lie down for one half hour after meals D. I will consume less caffeine and fewer spicy foods E. I will drink less fluid

Correct Answer is ["A","B","D"]

Explanation

A. Maintaining a healthy weight can reduce abdominal pressure, which may alleviate symptoms.

B. Sleeping with the head of the bed elevated helps prevent acid reflux, a common symptom of hiatal hernia.

C. Lying down after meals can worsen reflux, so it should be avoided.

D. Reducing caffeine and spicy foods can help minimize irritation of the stomach lining and reduce reflux symptoms.

E. Reducing fluid intake is unnecessary; fluids do not contribute to hiatal hernia symptoms.

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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

A nurse is caring for a client who has full-thickness burns over 75% of his body. The nurse should use which of the following methods to monitor the cardiovascular system?

Correct Answer is B

Explanation

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Correct Answer is ["A","B","D"]

Explanation

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