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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A Pain typically occurs when the stomach is empty (1-3 hours after eating), often during the night and early morning. This pattern occurs because the presence of food helps to buffer gastric acid, whereas an empty stomach allows acid to directly contact the ulcerated area, leading to pain.
B. Pain in the right lower quadrant is not typically associated with peptic ulcer disease. Pain in PUD is usually located in the epigastric region (upper abdomen), although it can radiate to the back or other areas depending on the location and severity of the ulcer.
C. Constipation is not a typical finding in peptic ulcer disease. PUD is primarily associated with gastrointestinal symptoms related to acid-peptic imbalance, such as abdominal pain, bloating, nausea, and sometimes vomiting. Bowel habits are generally not directly affected by PUD.
D. In peptic ulcer disease, pain is usually relieved by eating or taking antacids. This is because food intake neutralizes gastric acid and provides a temporary protective coating over the ulcer, reducing irritation and pain.
Correct Answer is B
Explanation
A Furosemide is likely to cause hypotension rather than hypertension.
B. Limiting salt intake is highly recommended while on furosemide because excess sodium can cause the body to retain water, which can worsen fluid retention and undermine the effectiveness of the diuretic.
C. Checking the pulse is important for certain medications that can affect heart rate, like beta-blockers. However, furosemide is not typically associated with major effects on pulse rate.
D. While increasing potassium-rich foods such as cantaloupe can be beneficial in managing electrolyte balance, it does not specifically address a potential adverse effect of the medication.
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