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You Selected:Turn the child slowly and gently from side to side to prevent respiratory complications.Correct response:Turn the child slowly and gently from side to side to prevent respiratory complications.Explanation:Remediation:Question 4 See full questionThe primary nursing goal for a client with myasthenia gravis is to:You Selected:maintain respiratory function.Correct response:maintain respiratory function.Explanation:Remediation:Question 5 See full questionAfter a car accident, a client is admitted to an acute care facility with multiple traumatic injuries, including a fractured pelvis. For 24 to 48 hours after the accident, the nurse must monitor the client closely for which potential complication of a fractured pelvis?You Selected:InfectionCorrect response:Fat embolismExplanation:
Fat embolism is a relatively rare but life-threatening complication of pelvis and long-bone fractures, arising 24 to 48 hours after the injury. It occurs when fat droplets released at the fracture site enter the circulation, become lodged in pulmonary capillaries, and break down into fatty acids. Because these acids are toxic to the lung parenchyma, capillary endothelium, and surfactant, the client may develop pulmonary hypertension. Signs and symptoms of fat embolism include an altered mental status, fever, tachypnea, tachycardia, hypoxemia, and petechiae. Compartment syndrome and infection may complicate any fracture and aren't specific to a pelvis fracture. Volkmann'sischemic contracture is a potential complication of a hand or forearm fracture.Remediation:Question 6 See full questionA 19-year-old male with cystic fibrosis (CF) is hospitalized for a serious lung infection and is in need of a lung transplant. However, he has a rare blood type that complicates the process of obtaining a donor organ. He has also been diagnosed with bipolar disorder and treated successfully since mid-adolescence with medication and therapy. The client requests to see a chaplain to help him make plans for a funeral and donation of his body to science after death. How should the nurse interpret the client’s request?You Selected:It is a signal of the client's growing awareness that he is likely to have a shortened lifespan and should be supported by unit staff.Correct response:It is a signal of the client's growing awareness that he is likely to have a shortened lifespan and should be supported by unit staff.Explanation:Remediation:Question 7 See full questionA 4-year-old child who has been ill for 4 hours is admitted to the hospital with difficulty swallowing, a sore throat, and severe substernal retractions. The child's temperature is 104° F (40° C), and the apical pulse is 140 bpm. The white blood cell count is 16,000/mm3(16,000 X 109/L). What is priorityfor nursing intervention?