Answer to Question 1
ANS: D
Deep vein thrombosis (DVT) as a complication with bone fractures occurs more often when fractures are sustained in the lower extremities and the client has additional risk factors for thrombus formation. Other risk factors include obesity, smoking, oral contraceptives, previous thrombus events, advanced age, venous stasis, and heart disease. The other clients do not have risk factors for DVT.
Answer to Question 2
ANS: A
The client is at high risk for a fat embolism and has some of the clinical manifestations of altered mental status and dyspnea. Although this is a life-threatening emergency, the nurse should take the time to administer oxygen first and then notify the health care provider. Oxygen administration can reduce the risk for cerebral damage from hypoxia. The nurse would not restrain a client who is confused without further assessment and orders. Sitting the client in a high-Fowler's position will not decrease hypoxia related to a fat embolism. The IV rate is not related. Pain medication most likely would not cause the client to be restless.
A nurse shows empathy to a client.
Stress Fractures
Relaxed Posture and a Friendly Smile Communicate an Open and Welcoming Attitude Toward Clients.
Clients have certain rights like the rights to privacy, self-determination, and safety.
Use face cradle covers to prevent the client’s skin from touching the face cradle upholstery.
Measuring the client’s blood pressure