Your patient was a passenger in a motor vehicle crash yesterday and suffered an open fracture of the femur. His condition was stable until an hour ago, when he began to complain of shortness of breath. His heart rate is 104/minute, respiratory rate is 30/minute, B/P is 90/60 mm Hg, and temperature is now 38.4°C. You suspect that he:

A. has a fat embolism.
B. has developed metabolic acidosis.
C. is developing systemic inflammatory response syndrome
D. is experiencing early multisystem organ failure.


Answer: A. has a fat embolism.

Nursing

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The nurse is caring for a patient with insomnia who asks the nurse about possible complementary and alternative (CAM) practices which may help with the patient's disorder. What is the nurse's best response?

1. "DHEA has been shown to be effective in sleep-wake disorders." 2. "Acupuncture has been shown to be effective in all sleep-wake disorders." 3. "Natural products have been shown more effective in sleep-wake disorders than mind and body practices." 4. "Mindfulness-based meditation has been shown to be effective in sleep-interfering cognitive processes."

Nursing

To illustrate two family members in an adoptive relationship in a pedigree:

A. Arrows are drawn pointing to the male and female B. Brackets are drawn around the male and female C. Double horizontal lines are drawn between the male and female D. Circles are drawn around the male and female

Nursing

The precautionary principle affirms that, when there is reasonable suspicion of harm of a new product, process, intervention, or technology and scientific uncertainty regarding cause and effect of this harm, people:

a. should rely on the developer to assure product safety. b. have few legal rights related to preventing harm. c. have a duty to take action to prevent harm. d. have to prove cause and effect before taking action.

Nursing

A nurse has been caring for a client with generalized anxiety disorder. The nurse should evaluate that the care has been effective when the client is able to:

Select all that apply. A) Recognize signs of escalating anxiety. B) Avoid any situation that causes stress. C) Utilize relaxation techniques to limit anxiety. D) Maintain anxiety at a manageable level without the use of medications. E) Discuss plans to handle panic attacks if they occur.

Nursing