Two days after an accident in which a client sustained multiple injuries, including fractures, the client becomes confused and dyspneic and has a fever of 103.4° F. The nurse assesses that the client has developed
a. a fat embolism.
b. a pulmonary embolism.
c. compartment syndrome.
d. wound infection.
A
Manifestations of confusion, hypoxia, and fever may indicate a fat embolism in a client with multiple fractures.
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The nursing student is writing a report on the use of nonverbal techniques to encourage therapeutic communication. Which examples should be included in the report? (Select all that apply.)
a. Providing a backrub b. Remaining silent c. Avoiding distracting body movements d. Facing the patient e. Nodding
The nurse caring for infants in the neonatal intensive care unit (NICU) relies on the use of behavioral and physiologic indicators for determining pain. Which of the following examples are behavioral indicators? Select all answers that apply
A) The infant grimaces. B) The infant's heart rate is elevated. C) The infant flails his arms and legs. D) The infant's respiratory rate is elevated. E) The infant is crying uncontrollably. F) The infant's oxygen saturation is low.
A hospitalized patient is placed on diethylstilbestrol ( DES) for prostate cancer. The nurse explains the possible side effects of the medication, which are:
1. gynecomastia. 2. pruritus. 3. constipation. 4. tinnitus.
A nurse is teaching a newly diagnosed diabetic mellitus Type 1 patient and family about the administration of insulin. It will be important for the nurse to include:
1. Rotating the injection sites with each dose. 2. Only using 1 mL syringes for dosing. 3. Giving the amount of insulin, then checking the blood glucose levels. 4. Providing sugary snacks when the glucose level is at 120 or above.