Nokea
A client developed fat embolism syndrome (FES) following a fracture. Which of the following laboratory findings should the nurse expect?
- A. Decreased serum calcium level
- B. Decreased level of serum lipids
- C. Decreased erythrocyte sedimentation rate (ESR)
- D. Increased platelet count
Correct Answer: A
Rationale: The correct answer is A: Decreased serum calcium level. In fat embolism syndrome (FES), fat globules enter the bloodstream and can cause hypocalcemia due to the formation of calcium soaps. This can lead to symptoms such as confusion and tetany. The other choices are incorrect because in FES, there is no direct impact on serum lipids or ESR. Platelet count may be normal or decreased due to the consumption of platelets in the process.
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Appropriate treatment for a patient with cellulitis includes
- A. Petrolatum and vitamin A and D ointment.
- B. Antibiotics, such as cephalexin, and over-the-counter analgesics.
- C. Weight-bearing exercises and diuretics, such as furosemide.
- D. Wet to dry dressings and steroids.
Correct Answer: B
Rationale: Antibiotics are the mainstay of treatment for cellulitis.
Your patient's physician told him that he has hemophilia. You are asked to teach the signs and symptoms of this disease. You respond by saying
- A. Clot formation, especially in the veins of the lower extremities.
- B. Low blood counts and fatigue due to lack of adequate red blood cell production.
- C. High blood counts and clot formation under the nails.
- D. Excessive bleeding after minor trauma.
Correct Answer: D
Rationale: Hemophilia is characterized by excessive bleeding due to a deficiency in clotting factors.
Which communication technique will help a nurse communicate with clients who do not speak English?
- A. Repeat the question without changing words.
- B. Look at the translator when asking questions.
- C. Speak slowly,using simple words and short sentences.
- D. Refer to an English or foreign language dictionary for bilingual words.
Correct Answer: C
Rationale: Speaking slowly and using simple language improves comprehension for non-native speakers.
A student nurse arrives on the unit and asks you what the rationale for treatment of withdrawal is. What is the best response?
- A. To protect the patient while the body removes the drug from the patient's bloodstream.
- B. To protect the patient from relapsing during withdrawal.
- C. To treat the patient's psychological dependency on the substance.
- D. To treat the symptoms of withdrawal while the body removes the substance from the patient's bloodstream.
Correct Answer: D
Rationale: Treating withdrawal symptoms supports physiological stability as the body clears the substance.
What is the correct term for a fear of having panic attacks in public places?
- A. Social phobia
- B. Acrophobia
- C. Nyctophobia
- D. Agoraphobia
Correct Answer: D
Rationale: Agoraphobia specifically refers to the fear of being in public spaces or situations where escape might be difficult.