A nurse is caring for a client who is postoperative following an intermaxillary fixation as a result of multiple facial fractures. Which of the following types of equipment should the nurse plan to have at the client's bedside?

IV infusion pump
Wire cutters
NG tube
Urinary catheter tray
The Correct Answer is B
A. An IV infusion pump may be needed for intravenous therapy but is not specific to postoperative care following intermaxillary fixation.
B. This option is correct. Wire cutters are essential equipment in case of an emergency that requires the removal of the fixation wires.
C. An NG tube may be necessary for nutritional support, but it is not directly related to postoperative care following intermaxillary fixation.
D. A urinary catheter tray is not specific to postoperative care following intermaxillary fixation and may not be a priority in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hypovolemic shock is characterized by a significant loss of blood volume. While it can occur due to severe trauma, the symptoms of shortness of breath and chest pain are more indicative of a potential respiratory issue, making Fat Embolism Syndrome (FES) a higher concern in this case.
B. Correct. Given the client's recent multiple long bone fractures and the symptoms of shortness of breath and chest pain, the nurse should be concerned about the possibility of fat embolism syndrome (FES). FES can occur as a result of long bone fractures, particularly those involving the femur, pelvis, or tibia. Fat emboli can enter thebloodstream and potentially obstruct blood vessels, leading to symptoms such as shortness of breath, chest pain, and altered mental status.
C. Venous thromboembolism (VTE) is a condition involving the formation of blood clots in the veins, which can lead to complications such as deep vein thrombosis (DVT) or pulmonary embolism (PE). While this is a consideration for clients with immobilization due to fractures, it is not the primary concern in this case based on the presenting symptoms.
D. Compartment syndrome is a condition characterized by increased pressure within a muscle compartment, leading to decreased blood flow and potential tissue damage. While it can occur after fractures, it typically presents with symptoms like severe pain, swelling, and tense muscles, rather than shortness of breath and chest pain.
Correct Answer is A
Explanation
A. Hematuria: This is the correct answer. Hematuria, which is the presence of blood in the urine, can be a common complication of pelvic fractures. This occurs due to the potential injury to the bladder or other structures within the pelvis. Monitoring for hematuria is crucial in assessing potential internal injuries and ensuring appropriate management.
B. Impaired taste: Impaired taste is not typically associated with pelvic fractures. It is more likely related to conditions involving the sense of taste or other unrelated factors. It is not a common complication of pelvic fractures.
C. Diarrhea: Diarrhea is not a common complication of pelvic fractures. It is more likely to be caused by gastrointestinal issues, infections, dietary factors, or other medical conditions. It is not directly related to pelvic fractures or their complications.
D. Increased thirst: Increased thirst is not a common complication of pelvic fractures. It may be related to various factors such as dehydration, certain medical conditions like diabetes, or side effects of medications. It is not a direct consequence of pelvic fractures or their associated complications.
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