A nurse obtains the health history of a client with a fractured femur. Which factor identified in the client's history should the nurse recognize as an aspect that may impede healing of the fracture?
a. Sedentary lifestyle
b. A 30-pack-year smoking history
c. Prescribed oral contraceptives
d. Paget's disease
ANS: D
Paget's disease and bone cancer can cause pathologic fractures such as a fractured femur that do not achieve total healing. The other factors do not impede healing but may cause other health risks.
You might also like to view...
An older resident of a nursing home reports to the nurse that during the night someone entered her room and stood by the window watching her. She expresses fear of going to sleep. What action is most appropriate for the nurse to take initially?
a. Reassure her that there was no one in her room and that she must have been dreaming. b. Request a psychiatric consult to evaluate her for cognitive problems. c. Assess the environment in her room to see if there is anything that could be confusing her. d. Suggest to her that she request sleeping medication every night.
When assessing a client's respirations, the nurse realizes that the respiratory centers and chemoreceptors respond to changes in:
1. Oxygen concentration. 2. Carbon dioxide concentration. 3. Hydrogen ions. 4. Potassium level. 5. Serum calcium level.
A 6-year-old boy has a moon-faced, stocky appearance but with thin arms and legs. His cheeks are unusually ruddy. He is diagnosed with Cushing syndrome. What is the most likely cause of this condition in this child?
What will be an ideal response?
A 64-year-old patient with newly diagnosed acute myelogenous leukemia (AML) who is undergoing induction therapy with chemotherapeutic agents tells the nurse, "I feel so sick that I don't know if the treatment is worth completing." The nurse's best response to the patient is
a. "I know you feel really ill right now, but after this therapy your disease will go into a remission and you will feel normal again." b. "Induction therapy is very aggressive and causes the most side effects, so when this phase is completed you won't feel so ill." c. "Your type of leukemia has an 80% survival rate if aggressive therapy is started, so the effects of treatment will be worth it to you." d. "The chemotherapy is difficult, but it is necessary to put the disease into remission and give you time to make choices about your life.