A 17-year-old whose legs were crushed in a motorcycle accident has come to the emergency department. While waiting for x-rays, the patient begins to sweat and have labored breathing. The nurse suspects that the patient has had:
a. An anxiety attack
b. The onset of shock
c. A fat embolism
d. An aspiration of blood
C
A fat embolism occurs as fat escapes from the bone marrow. The signs of an embolism are labored respirations and a possible change in level of consciousness. This condition should be reported immediately.
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The nurse knows that iron deficiency anemia is caused by low levels of iron in the body that can be improved by a diet high in iron. Based on this information, the best nursing diagnosis is:
a. Imbalanced nutrition: less than body requirements for iron r/t possible Deficient Recall of dietary needs b. Deficient Recall r/t imbalanced nutrition due to less than body requirements of iron c. Imbalanced nutrition: less than body requirements r/t inability to access information d. Inability to access information r/t Deficient Recall about dietary needs for iron
The nurse is educating a client planning to conceive on the phases of the ovarian cycle. Place the following phases in order of occurrence starting with the onset of menstrual bleeding
A. Ovulation B. Menses C. Premenstrual phase D. Follicular phase E. Luteal phase
A nurse is required to prepare a client for a radiology test involving the use of dye. What preparatory steps should the nurse take?
A) Wear lead shields to protect vital organs. B) Observe the client for signs of anaphylaxis. C) Use masks to protect self. D) Ask if the client is allergic to iodine.
The nurse is performing a head-to-toe assessment on a client taking aluminum hydroxide (AlternaGel). Why must the nurse closely assess for bowel changes?
1. Hyperactive bowel sounds indicate imminent vomiting; suction should be made available. 2. Hypoactive bowel sounds indicate duodenal ulcerations. 3. Hematochezia is a sign that the medication is working. 4. A distended abdomen could indicate constipation, a side effect of this medication.