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?

Bone demineralization

Fat embolism syndrome

Muscle atrophy

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.

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Correct Answer is B

Explanation

A. A low-sodium diet is not appropriate for a child with Addison's disease. In fact, children with Addison's disease often require higher sodium intake due to the adrenal glands' inability to produce aldosterone, which regulates sodium balance.
B. Cortisol replacement therapy is essential for children with Addison's disease because the condition involves insufficient production of cortisol, a hormone vital for stress response and metabolism. Teaching parents about this therapy is a key nursing intervention to ensure proper management of the disease.
C. Hyperglycemia is not a primary concern in Addison's disease. In fact, the disease is more often associated with hypoglycemia due to low cortisol levels. Therefore, discussing hyperglycemia is not a priority in this case.
D. Fluid volume excess is not typically a concern in Addison's disease. In fact, due to aldosterone deficiency, patients are more prone to dehydration and hypotension, so monitoring for fluid volume deficit is more appropriate.

A. Bicarbonate B. Albumin C. Cortisol D. Potassium

Correct Answer is D

Explanation

A. Bicarbonate is important to monitor in conditions like metabolic acidosis or alkalosis, but it is not the primary laboratory value to monitor for a client on furosemide.
B. Albumin levels are important to monitor for nutritional status or liver function but are not directly impacted by furosemide use.
C. Cortisol levels are not typically affected by furosemide. Cortisol is more relevant in conditions like Cushing's syndrome or adrenal insufficiency.
D. Potassium is the primary laboratory value to monitor when a client is on furosemide, a loop diuretic. Furosemide increases the excretion of potassium, which can lead to hypokalemia. This can cause serious cardiac and muscular complications, so regular monitoring of potassium levels is crucial.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client who receives furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client due to this medication?

Correct Answer is D

Explanation

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