The nurse cares for a client who sustained a femur fracture twelve hours ago.
Client reports shortness of breath and stated, 'something is not right.' The client was assessed to have a respiratory rate of 25/min and oxygen saturation of 90% while on room air.

Lung sounds had bilateral crackles throughout, and respirations were labored. Chest pain was reported that worsened with breathing. An emergent 12-lead electrocardiogram was obtained, and it was observed that the client had reddish-purple spots on their torso. A rapid response was called.

he client is demonstrating signs and symptoms of ?

pulmonary embolism

myocardial infarction

fat embolism syndrome

compartment syndrome

Answer and Explanation

The Correct Answer is C

Choice A rationale: Pulmonary embolism would cause chest pain, dyspnea, and hemoptysis, but not petechiae or neurological changes.

Choice B rationale: While chest pain might be associated with myocardial infarction, the combination of symptoms aligns more with a pulmonary embolism.

Choice C rationale: Fat embolism syndrome occurs when fat globules from the bone marrow enter the bloodstream and travel to the lungs, brain, or other organs. This can

cause respiratory distress, neurological impairment, petechiae (reddish-purple spots on the skin), and cardiac dysfunction.

Choice D rationale: Compartment syndrome doesn't typically manifest with respiratory symptoms or reddish-purple spots.

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Correct Answer is D

Explanation

Choice A rationale: Hormone therapy (HT) is used to treat menopausal symptoms, not PID.

Choice B rationale: Irregularities in the menstrual cycle is not a common complications of PID.

Choice C rationale: Changes in secondary sex characteristics is not a common complications of PID.

Choice D rationale: Pelvic inflammatory disease (PID) is an infection of the female reproductive organs that can cause scarring and damage to the fallopian tubes, ovaries, and uterus. This can lead to ectopic pregnancy, chronic pelvic pain, and infertility.

A. an exam used to detect and help your doctor view the inside of your body without having to make an incision or invasion. This can help them diagnose, monitor, and treat many medical conditions B. an exam used to detect and help your doctor look for a range of disorders and conditions, screen for diseases and adjust treatments, measures and counts your blood cells. C. an exam used to detect and help your doctor view changes or abnormalities in the large intestine and rectum. D. an exam used to detect and help your doctor view for things cannot be seen with the naked eye, including red blood cells, white blood cells (or pus cells), bacteria (germs), or crystals.

Correct Answer is C

Explanation

Choice A rationale: This is a general description of an imaging test, such as an X-ray, ultrasound, or MRI, which can show the structure of the organs but not the mucosal lining.

Choice B rationale: This is a general description of a blood test, which can show signs of infection, inflammation, or anemia, but not the cause of these problems.

Choice C rationale: This exam is called a colonoscopy, which involves inserting a flexible tube with a camera and light into the anus and advancing it through the colon. A colonoscopy can reveal signs of inflammation, ulcers, bleeding, or narrowing of the intestinal wall that are characteristic of Crohn's disease. A biopsy can also be taken during the procedure to confirm the diagnosis.

Choice D rationale: This is a general description of a urine test, which can show signs of kidney problems, urinary tract infections, or dehydration, but not Crohn's disease.

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Naxlex Comprehensive Predictor Exams

What topic should the nurse plan as a priority to teach a 26-year-old patient who has been treated for pelvic inflammatory disease?

Correct Answer is D

Explanation

Upon physical examination, the nurse detects abdominal tenderness, increased bowel sounds accompanied by signs of borborygmi, abdominal distension, and tympany on percussion. Which diagnostic test will confirm Crohn's disease in the client?

Correct Answer is C

Explanation

The nurse working in a postoperative surgical clinic is assessing a woman who had a left radical mastectomy for breast cancer. Which factor puts this client at greatest risk for developing lymphedema?

The nurse is assessing a client receiving peritoneal dialysis. Which laboratory result should immediately be reported to the primary healthcare provider (PHCP)?

Which of the following imagine the nurse will recognize as a positive evidence of adenomyosis?

The nurse is concerned about the risks of hypoxemia and metabolic acidosis in a client who is in shock. What finding should the nurse analyze for evidence of hypoxemia and metabolic acidosis in a client with shock?

A client has received vasopressin for diabetes insipidus. Which assessment finding indicates the most therapeutic response to this therapy?

The nurse is caring for a client with multiple traumas after a motor vehicle collision. The nurse learns that the client has secondary syphilis. What precaution should the nurse implement?

The nurse cares for a client with diabetes mellitus and congestive heart failure. Exhibits Which two (2) client findings in the history and physical are most concerning? Select all that apply

Which type of epileptic seizure is characterized by a sudden lapse of consciousness for 5 to 30 seconds?