A nurse is teaching a client who has a pelvic fracture about the manifestations of fat embolism syndrome. The nurse should include which of the following findings as an early manifestation?
Hypertension
Swollen calf
Tachypnea
Bradycardia
The Correct Answer is C
Choice A reason:
Hypertension is not typically an early manifestation of fat embolism syndrome (FES). FES is more commonly associated with hypoxemia, which can lead to hypotension rather than hypertension².
Choice B reason:
While a swollen calf may indicate deep vein thrombosis, it is not an early sign of FES. FES primarily affects the lungs and neurological systems early on, rather than causing localized swelling such as in a calf².
Choice C reason:
Tachypnea, or rapid breathing, is indeed an early sign of FES. This symptom usually develops before others and is due to the fat globules causing respiratory distress by blocking the pulmonary microcirculation²³⁴.
Choice D reason:
Bradycardia, or a slower than normal heart rate, is not an early sign of FES. Instead, patients may experience tachycardia as a response to hypoxemia and respiratory distress².
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Danazol is a synthetic steroid that is typically used to treat endometriosis and fibrocystic breast disease. It is not indicated for the treatment of benign prostatic hyperplasia (BPH) and could potentially worsen symptoms due to its androgenic effects.
Choice B reason:
Methyltestosterone is an anabolic steroid with androgenic properties, similar to the male hormone testosterone. It is used to treat men with testosterone deficiency. However, it is not used for BPH treatment and, like danazol, could exacerbate BPH symptoms due to its androgenic activity.
Choice C reason:
Finasteride is a 5-alpha reductase inhibitor that is commonly prescribed for the treatment of BPH. It works by inhibiting the conversion of testosterone to dihydrotestosterone (DHT), a hormone that contributes to prostate growth. By reducing DHT levels, finasteride can help shrink the prostate and alleviate urinary symptoms associated with BPH.
Choice D reason:
Fluoxymesterone is another anabolic steroid with testosterone-like effects. It is used to treat conditions associated with a deficiency or absence of endogenous testosterone. It is not suitable for BPH treatment and could potentially worsen the condition due to its androgenic properties.

Correct Answer is B
Explanation
Choice A reason:
Advising to avoid exercise during flare-ups of fibromyalgia can be beneficial. During flare-ups, symptoms such as muscle pain and fatigue are heightened, and rest may be necessary. However, gentle exercises like stretching or water aerobics might still be recommended to maintain muscle flexibility and strength.
Choice B reason:
Establishing a regular sleep pattern is crucial for managing fibromyalgia. Sleep disturbances are common in fibromyalgia, and poor sleep can exacerbate pain and fatigue. Good sleep hygiene, including a consistent sleep schedule and a comfortable sleep environment, can help improve sleep quality and overall symptom management.
Choice C reason:
While regular exercise is important in managing fibromyalgia, jogging or running may not be suitable for all individuals, especially during periods between flare-ups. Low-impact exercises are generally recommended to reduce stress on the joints and muscles.
Choice D reason:
There is no specific recommendation to increase calcium intake as a self-care strategy for fibromyalgia. While maintaining a balanced diet is important, there is no direct link between calcium intake and fibromyalgia symptom management.
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