The nurse is caring for a child with a broken femur. The nurse is monitoring the child for signs of a fat embolus. Which of the following symptoms would indicate that a fat embolus is present?
a. The child is alert and oriented
b. The child has normal breath sounds
c. The child has an altered level of consciousness
d. The child has experienced weight gain
C
An altered metal status is an indication that the child may have a fat embolism. The child may also experience respiratory distress.
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The nurse recommends to patients with osteoarthritis that they consider physical therapy for assistance with (select all that apply):
1. isometric exercises. 2. moist heat application. 3. instruction with a TENS unit. 4. measures to increase range of motion. 5. measures to increase strength.
The nurse should expect to administer which medication regimen to a patient with an ulcer that is H. pylori positive?
A) Proton pump inhibitors, clarithromycin, amoxicillin B) Proton pump inhibitors, bismuth salts, metronidazole C) H2 receptor antagonist, proton pump inhibitors, clarithromycin D) H2 receptor antagonist, amoxicillin, clarithromycin
The nurse's best measure of evaluating care of a rape victim is that:
1. all legal evidence is preserved during the physical examination. 2. the victim appreciates the legal information but decides not to pursue legal pro-ceedings. 3. the victim states that she is going to advocate against sexual violence. 4. the victim leaves the health care facility without feeling revictimized.
A nurse notes that a patient has developed Neuroleptic Malignant Syndrome. The nursing priority should be to:
1. Stop the antipsychotic medication immediately and notify the doctor. 2. Prepare to administer Epinephrine to the patient. 3. Elevate the head of the patient's bed. 4. Prepare to start IV fluids.