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The nurse is caring for a client being treated for

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36. The nurse is caring for a client being treated for fat embolus after multiple fractures. Whichdata would the nurse evaluate as the most favorable indication of resolution of the fat embolus?1. Clear mentation2. Minimal dyspnea3. Oxygen saturation of 85%4. Arterial oxygen level of 78 mm Hg (10.3 kPa)Answer: 1Rationale: An altered mental state is an early indication of fat emboli; therefore, clear mentationis a good indicator that a fat embolus is resolving. Eupnea, not minimal dyspnea, is a normalsign. Arterial oxygen levels should be 80–100 mm Hg (10.6–13.33 kPa). Oxygen saturationshould be higher than 95%. Test-Taking Strategy: Note the strategic word, most. Knowing thatthe arterial oxygen and oxygen saturation levels are below normal helps to eliminate options 3and 4. Dyspnea, even at a minimal level, is not normal, so eliminate option 2.
37. The nurse has conducted teaching with a client in an arm cast about the signs and symptomsof compartment syndrome. The nurse determines that the client understands the information ifthe client states that he or she should report which early symptom of compartment syndrome?

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