A 68-year-old trauma victim is in your medical unit recovering from a surgery she had 3 days ago to put stabilizing rods in both fractured femurs. With one exception, all these signs and symptoms will alert you to the fact that she is possibly developing fat embolism syndrome (FES).
A. Fever and purulent drainage from the surgical sites
B. Altered mental status and restlessness
C. Petechiae located on the arms and upper chest
D. Shortness of breath
Answer: A. Fever and purulent drainage from the surgical sites
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The nurse notes the amount and color of the urine the patient with urolithiasis has voided. While using Standard Precautions, what should be the nurse's next action?
a. Discard the urine b. Add the urine to a 24-hour collector c. Send the urine to the laboratory d. Strain the urine
How might the nurse best prevent infection in a patient with an indwelling urinary catheter?
A) Vigorously clean the meatus area daily. B) Apply powder to the perineal area twice daily. C) Empty the drainage bag at least every 8 hours. D) Irrigate the catheter every 8 hours with normal saline.
During the focused interview, the client provides information to the nurse regarding her daughter's recent diagnosis with cancer. The client is exhibiting clinical manifestations associated with anxiety
During the physical assessment, which of the following findings might be expected? Standard Text: Select all that apply. 1. The client complains of pain when the tragus is gently manipulated. 2. The client has several small ulcers on her lip. 3. Pale nasal mucosa 4. Small sores are noted within the mouth. 5. Perforated nasal septum
A client is receiving continuous arteriovenous hemofiltration (CAVH). Which laboratory value does the nurse monitor most closely?
a. Hemoglobin b. Glomerular filtration rate c. Sodium d. White blood cells