Nursing Elites

1. What is one of the earliest signs of fat embolism syndrome?

• A. Paresthesia
• B. Severe pain in the affected limb unrelieved by medication
• C. Edema
• D. Hypoxemia

Correct answer: D

Rationale: Hypoxemia is one of the earliest signs of fat embolism syndrome. In fat embolism syndrome, fat globules enter the bloodstream and can obstruct blood flow in the lungs, leading to hypoxemia. Paresthesia, severe pain unrelieved by medication, and edema are not typically among the earliest signs of fat embolism syndrome.

2. A client with systemic sclerosis has been in bed for 2 weeks due to fatigue and abdominal pain. Today, the client came into the clinic complaining of her leg being hot, red and painful. What does the nurse suspect?

• A. Amputation
• B. Deep vein thrombosis
• C. Internal bleeding
• D. Kidney failure

Correct answer: B

Rationale:

3. A client recently had an above the knee amputation and complains of pain distal to the amputation. What type of pain is the client experiencing?

• A. Nociceptive
• B. Neuropathic
• C. Visceral
• D. Cutaneous

Correct answer: A

Rationale:

4. A client has an open wound with creamy thick yellow drainage. How would the nurse document this finding?

• A. Purulent
• B. Serosanguinous
• C. Sanguineous
• D. Serous

Correct answer: A

Rationale:

5. The nurse is performing a psychosocial assessment on a client with a severe rheumatoid arthritis. What would be the most appropriate statement by the nurse?

• A. "Tell me about what medication you are taking"?
• B. "What physical limitations are you experiencing?"?
• C. "How does this impact your role in your family?"?
• D. "What therapies are you using to reduce swelling?"?

Correct answer: C

Rationale:

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