The nurse is caring for an adolescent admitted with a fractured femur who was placed in traction several days ago
The nurse prepares to perform an initial assessment, and walks into the client's room to find him dyspneic and reporting severe chest pain. The nurse suspects the client has developed: 1. Pneumonia.
2. Pneumothorax.
3. Myocardial infarction.
4. Fat embolism.
4
Rationale: The client is at risk for fat embolism as the result of a fracture of the long bone, producing symptoms depending on where the embolus travels. In this adolescent's case, the embolus traveled to the lungs and produced pulmonary symptoms. This can be life-threatening, and rapid intervention is required.
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Which observation by a nurse indicates a patient's acceptance of the diagnosis of acute leukemia?
a. Plans a 14-day cruise in 2 weeks b. States that he will be fine in a few months c. Asks for educational material about acute leukemia d. Rests after a chemotherapy session
You are caring for a patient who has just returned to the unit after bowel surgery. The physician has determined that for the next 3 to 4 weeks the patient will require parenteral nutrition (PN)
What type of catheter for PN administration will you anticipate will be placed? A) Peripheral catheter B) Nontunneled central catheter C) Peripherally inserted central catheter D) Tunneled central catheter
The nurse is working on a care area that utilizes functional nursing. The nursing management system of functional nursing focuses on:
a. continuity of care for the client. b. a team approach to health care. c. dividing tasks at various levels according to the complexity of the task. d. assigning responsibility of the total care to one specific registered nurse for the shift.
List three examples of how family-focused care differs between chronic illness and acute illness. Chronic illness care Acute illness care ___________________________________________________ _______________________________________
Fill in the blank with the appropriate word.