Explain the pathophysiology of this complication and the reason J.O. is at risk for
experiencing this complication.
What will be an ideal response?
Fat embolism syndrome is a rare, but potentially life-threatening, complication that accompanies
traumatic injury of the long bones, such as the femur, and pelvis. If it occurs, it is within 48 hours of
the injury. In fat embolism, fat globules are released from the marrow of the broken bone into the
bloodstream. Once the fat droplets enter the circulation, they migrate to the lungs. Because they
are too large to pass through the pulmonary circulation, they lodge in the capillaries and obstruct
blood flow. The fat particles break down into fatty acids, which inflame the pulmonary blood vessels,
leading to pulmonary edema and the occlusion of capillaries of the pulmonary circulation, causing
hypoxia and tissue death.
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A patient who has been taking lamotrigine (Lamictal) for the past 2 weeks calls the clinic and reports to the nurse that he or she has developed a rash. What should the nurse tell him or her to do?
A) To continue taking the drug and that the rash will go away B) To talk to he or she physician and that he will prescribe a cream to apply to the rash C) To decrease the dosage by half for 2 weeks and then take the prescribed dose D) To discontinue the drug and return to the clinic immediately
A research proposal states that the objective is to, "explore the incidence of homeopathic health practices on Iowa Native Reserves in Oklahoma
" In describing the design to be used for conducting the study, the researchers plan to use a nonexperimental design. What can you conclude from this proposal? A) The choice of a nonexperimental design is appropriate for the research objective. B) Researchers should consider using a quasi-experimental design to meet their objective. C) This research may not be answered completely if a quantitative design is used. D) The population to be studied needs to be expanded to include all Native Americans in Oklahoma to avoid a small sample size.
The nurse notes fanning of the toes when the sole of the foot is stimulated during assessment of the plantar reflex. The nurse would correctly chart which of the following?
1. Hyperreflexia 2. Babinski response 3. Brudzinski sign 4. Nuchal rigidity
A fetus has been diagnosed with myelomeningocele. Which of the following surgeries would be performed to correct this condition?
1. Tubal ligation 2. Intrauterine fetal surgery 3. Cesarean section 4. Sterilization