How it Works
Try Naxlex NCLEX-RN (Free-Trial)

The nurse plans of care for a patient who has a fractured femur. During the 24 to 48 hours after the fracture, the nurse monitors the patient for the development of which complication?

A.

Bone demineralization

B.

Fat embolism syndrome

C.

Muscle atrophy

D.

Renal calculi

Answer and Explanation

The Correct Answer is B

A. Bone demineralization occurs over a longer period of immobilization and is not a primary concern within the first 24 to 48 hours following a fracture.  
B. Fat embolism syndrome (FES) is a serious complication that can occur within 24 to 48 hours after a long bone fracture, especially a femur fracture. Fat droplets from the bone marrow can enter the bloodstream, leading to embolism in the lungs, brain, or heart, causing symptoms such as respiratory distress, confusion, and petechial rash.  
C. Muscle atrophy is a concern with prolonged immobility, but it develops over a longer period of time, not within the first 24 to 48 hours after a fracture.  
D. Renal calculi (kidney stones) are more commonly associated with long-term immobility or dehydration, not an immediate complication following a fracture.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is B

Explanation

A. Holding the arm straight is not a test used to diagnose carpal tunnel syndrome. This action does not specifically test for nerve compression in the wrist.
B. Holding the wrist at a 90-degree flexion is a classic test for carpal tunnel syndrome, known as the Phalen's test. This maneuver increases pressure on the median nerve, which can reproduce symptoms of numbness and tingling in the fingers, a characteristic sign of carpal tunnel syndrome.
C. Flexing the right arm at the elbow is not a specific test for carpal tunnel syndrome. This action is more relevant for other conditions, such as assessing for ulnar nerve compression.
D. Extending the arm upward does not directly test for carpal tunnel syndrome. This movement may be used in other neurological assessments but is not specific to this condition.

Correct Answer is D

Explanation

A. Elevating the feet can help reduce swelling and promote venous return, which is beneficial in preventing VTE.
B. Flexing the ankles (e.g., through ankle pumps) is an effective way to promote circulation and reduce the risk of VTE.
C. Ambulating soon after surgery is encouraged as it helps improve circulation and reduces the risk of blood clots.
D. Massaging the legs is unsafe because it can dislodge a clot if one is present, leading to a potential embolism. It is important to avoid deep pressure on the legs in clients at risk for VTE.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register