A nurse is caring for a group of clients who are 12 hr postoperative. The nurse should identify that the client who had which of the following procedures is at risk for developing fat embolism syndrome?

Repair of a torn rotator cuff<br>

Tympanoplasty

Internal fixation of a fractured hip

Thyroidectomy

Answer and Explanation

The Correct Answer is C

C. This procedure involves manipulation of bones and potential disruption of fatty tissue, which can lead to the release of fat emboli into the bloodstream, predisposing the client to fat embolism syndrome.

A This procedure involves surgical repair of the tendons in the shoulder. It does not typically involve manipulation of long bones or significant exposure to fatty tissue.

B. Tympanoplasty is a surgical procedure to repair a perforated eardrum. It does not involve manipulation of bones or exposure to fatty tissue.

D. Thyroidectomy is the surgical removal of part or all of the thyroid gland. It does not involve manipulation of long bones or exposure to fatty tissue.

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Correct Answer is B

Explanation

B. Desmopressin is a synthetic analog of vasopressin (antidiuretic hormone) that promotes water reabsorption in the kidneys, reducing urine production. It is used to treat conditions associated with excessive urination, such as diabetes insipidus or nocturnal enuresis. Since the client is experiencing excessive thirst and polyuria (excessive urine output), desmopressin would be appropriate to help reduce urine volume and manage fluid balance.

A Given the client's already high urine output, administering furosemide would further increase urine production, potentially exacerbating fluid loss and dehydration.

C. Epinephrine does not address the underlying issue of excessive thirst and polyuria related to brain injury and would not be used in this context.

D. Nitroprusside is a vasodilator that reduces blood pressure by relaxing smooth muscle in blood vessels. It is used to treat hypertensive emergencies. Nitroprusside is not relevant for addressing excessive thirst and polyuria due to brain injury.

A. Check pressure points every 12 hr. B. Provide the client with a trapeze bar. C. Remove the weights before changing the client's bedlinens. D. Instruct the client to use their elbows to reposition.

Correct Answer is B

Explanation

B. Providing the client with a trapeze bar allows them to move and reposition in bed independently without compromising the traction on the affected leg.

A Checking pressure points every 2 hours is generally recommended for clients at risk of developing pressure ulcers, but it's not specific to skeletal traction care.

C. Removing the weights prematurely can lead to loss of traction and compromise the therapeutic benefit of the traction.

D. When a client has skeletal traction, they should avoid using the affected limb for any weight-bearing activities or for repositioning

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A nurse is caring for a group of clients who are 12 hr postoperative. The nurse should identify that the client who had which of the following procedures is at risk for developing fat embolism syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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