A client, recovering from a fractured pelvis, begins to have dyspnea and restlessness. The nurse is concerned that the client is experiencing a fat emboli when which of the following are assessed? (Select all that apply.)
1. Upper body petechiae
2. Cough
3. Protein in the urine
4. Seizures
5. Temperature 102°F
6. Elevated blood glucose level
1, 4, 5
Symptoms of fat emboli include hypoxemia, mental status changes, petechiae, seizures, and a body temperature greater than 101.3°F. Cough, protein in the urine, and elevated blood glucose level are not symptoms of fat emboli.
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A client has a large renal calculus. Which assessment finding may indicate the development of a complication?
a. Blood pressure of 178/94 mmHg b. Urine output of 5600 mL/24 hr c. Client reports of pain on urination d. Asymmetric, tender flank area
After the nurse manager counseled a staff member about excessive absenteeism, the nurse manager expected his behavior to change. What type of consequence should the staff nurse expect if he changes his behavior?
a. Favorable b. Punitive c. Absent d. Insufficient
A patient is being discharged home on enteric-coated aspirin (Ecotrin)
A nurse is providing patient education regarding the rationale for the enteric coating. Which statement made by the patient indicates understanding of the purpose of the enteric coating on the aspirin? a. "Enteric coating will allow the aspirin to be released a little at a time throughout the day." b. "Enteric coating means that the aspirin will not be broken down by the liver." c. "Enteric coating means that the aspirin can be broken down easier and eliminated by the kidney." d. "Enteric coating means that the acids of the gut will not destroy the aspirin."
An older adult has approximately six loose stools a day and is admitted to the hospital with a diagnosis of gastroenteritis
In addition to being disoriented and weak, the patient has the following laboratory test results: Hct 56% (normal 40% to 51%) BUN 32 mg/dL (normal 6 mg/dL to 20 mg/dL) Which nursing diagnosis would be most appropriate for this patient? a. Excess fluid volume b. Deficient fluid volume c. Impaired skin integrity d. Risk for injury