The client was admitted to the hospital 2 hours ago following multiple fractures to the pelvis and soft tissue injury to the abdomen. Diagnostic studies have ruled out perforation of abdominal organs
The nurse places highest priority on monitoring this client for which of the following changes in vital signs? 1. Fever, bradycardia
2. Fever, hypertension
3. Tachycardia, hypotension
4. Bradycardia, hypertension
3
Rationale: Clients who experience fractures of the femur, pelvis, thorax, and spine are at risk for hypovolemic shock. Bone fragments can damage blood vessels, leading to hemorrhage into the abdominal cavity and, in the case of a fractured femur, into the thigh. This can occur with closed fractures as well as open fractures. Signs of hypovolemic shock include tachycardia and hypotension.
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What routine preoperative diagnostic tests are appropriate for a patient anticipating a be-low-the-knee amputation?
a. Pulse volume recording and white blood cell (WBC) count b. Cardiac catheterization and WBC count c. Pulse volume recording and radiographic images d. Thermography and cardiac catheterization
A patient diagnosed with colon cancer is being prepared for palliative surgery to correct an intestinal obstruction. The nurse understands that palliative surgery is:
1. the removal and study of tissue to make a diagnosis. 2. done to relieve symptoms or improve function without correcting the basic prob-lem. 3. done to remove diseased tissue or to correct defects. 4. done to correct serious defects that only affect appearance.
The nurse develops a presentation for pregnant women, women who may become pregnant, nursing mothers, and their young children
During the presentation, the nurse strongly encourages the group to avoid eating shark, swordfish, King mackerel, and tilefish because of the potential contamination with which of the following? 1. Mercury 2. Lead 3. Chromium 4. Asbestos
Successful antiretroviral therapy (ART) in an HIV-positive patient is determined by:
1. Being able to stop ART therapy due to HIV virus eradication 2. Lowering HIV viral load to unmeasurable amounts 3. Individual measures of success based on their personal situation 4. Normal blood hematologic factors