The nurse observes a petechial rash and respiratory distress in a patient recovering from a fractured femur. What should these findings suggest to the nurse?
a. Infection
b. Pneumonia
c. Fat embolism
d. Pleural effusion
ANS: C
The earliest manifestation of fat embolism syndrome is altered mental status from a low arterial oxygen level. The patient then experiences tachycardia, tachypnea, fever, high blood pressure, severe respiratory distress, and petechiae. A. B. D. These findings are not manifestations of infection, pneumonia, or pleural effusion.
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A nursing student attempting to use a behavioral modification contract found in the textbook is having trouble getting the client to follow through with everything in the contract
The nursing instructor knows to tell the student that behavioral contracts must be: 1. Affected by the functionality of the client. 2. Reflective of the client's mental illness. 3. Tailored for the individual. 4. Reflective of the characteristics within the client's family.
For which of the following behaviors would limit setting be most essential? The client
a. clings to the nurse and asks for advice about inconsequential matters. b. is flirtatious and provocative toward staff members of the opposite sex. c. displays hypervigilance and refuses to attend unit activities. d. urges a suspicious client to hit anyone who stares at him.
The nurse monitors an infant diagnosed with Nezelof's syndrome for which commonly associated condition?
A) Infections B) Thrombocytopenia C) Thymus gland failure D) Tinnitus
When reviewing the medication orders for a
patient who is taking penicillin, the nurse notes that the patient is also taking the oral anticoagulant warfarin (Coumadin). What possible effect may occur as the result of an interaction between these drugs? a. The penicillin will cause an enhanced anticoagulant effect of the warfarin. b. The penicillin will cause the anticoagulant effect of the warfarin to decrease. c. The warfarin will reduce the anti-infective action of the penicillin. d. The warfarin will increase the effectiveness of the penicillin.