The nurse is caring for an adolescent admitted with a fractured ...

[KWilfred]

The nurse is caring for an adolescent admitted with a fractured femur who was placed in traction several days ago.
 
  The nurse prepares to perform an initial assessment, and walks into the client's room to find him dyspneic and reporting severe chest pain. The nurse suspects the client has developed: 1. Pneumonia.
  2. Pneumothorax.
  3. Myocardial infarction.
  4. Fat embolism.

Question 2

The nurse is applying a dry gauze dressing to the client's large abrasion. The client asks the nurse why he needs a dressing on it. Appropriate responses include:(Select all that apply) Standard Text: Select all that apply.
 
  1. The dressing will protect the wound from being contaminated by germs
  2. Wounds heal better when they are kept warm, and the dressing will provide insulation
  3. The wound may drain as it heals, and the dressing will absorb the drainage
  4. The wound needs to be kept moist
  5. This will prevent the wound from hemorrhaging

[durant1234]

Answer to Question 1

4
Rationale: The client is at risk for fat embolism as the result of a fracture of the long bone, producing symptoms depending on where the embolus travels. In this adolescent's case, the embolus traveled to the lungs and produced pulmonary symptoms. This can be life-threatening, and rapid intervention is required.

Answer to Question 2

1,2,3
Rationale: The dressing will protect the wound from microbial contamination