For a patient with a fractured femur, a nurse is alert to the possibility of a fat embolus. What should the nurse specifically watch for?
a. Bradypnea
b. Restlessness
c. Bradycardia
d. Calf pain
B
Assess for indicators of hypoxemia, such as restlessness or agitation. Recognize early signs of fat embolism syndrome. Signs of hypoxemia include tachypnea, not bradypnea. Signs of hypoxemia include tachycardia, not bradycardia. Calf pain would indicate a DVT, not a fat embolism.
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During a myocardial infarction (MI), a patient with a 97% occlusion of his left descending artery develops ventricular arrhythmias due to the amount of ischemia occurring in the myocardium
While educating the patient about MIs, the nurse will base her teaching on the fact that A) permanent damage will occur in the myocardium if the vessel is not opened within a 1- to 2-minute window following the occlusion. B) treatment needs to be sought immediately so that the buildup of lactic acid is limited and cellular changes can be reversed. C) once the oxygen supply has been occluded, cellular changes are irreversible even if oxygenation is restored. D) the body will grow new genes through the process of angiogenesis, thereby avoiding any permanent damage to the myocardium.
A patient who takes nitroglycerine to treat stable angina reports having erectile dysfunction and states that he plans to ask his primary provider for a prescription for tadalafil [Cialis]. What will the nurse tell this patient?
a. "You may take these two drugs together safely as long as you take them as di-rected." b. "You should not take tadalafil and nitrog-lycerine within 30 to 60 minutes of each other." c. "You should discuss another anti-angina medication with your provider." d. "You should avoid sexual activity since this increases oxygen demands on the heart."
A nurse is caring for four clients. Which of the following clients should the nurse identify as likely to experience difficulty in being assertive? Select all that apply
A. A 20-year-old woman who is completing college homework assignments for several peers. B. A 69-year-old widow who is socially isolated C. A 17-year-old boy with conduct disorder D. A 45-year-old successful executive E. A 50-year-old diagnosed with narcissistic personality disorder
To use a transfer belt safely, you need to follow:
a. The care plan b. The manufacturer's instructions c. The doctor's orders d. The person's preferences