fractures

A client with a fractured femur is being prepared for surgery . The client develops a sudden onset of cyanosis , tachycardia , dyspnea , and restlessness . Which action would the nurse take first ?

Administer oxygen by mask .

An 11 - month - old infant is admitted to the pediatric hospital with a fractured right femur and is placed in Bryant traction . Which education would the nurse provide the parents about why both legs are placed in traction ?

As a means of ensuring countertraction both legs are placed in traction , and the buttocks are suspended off the bed .

When the nurse tries to bathe a young client with a spinal cord injury who has an incontinence episode the client says , " Leave me alone . Having you care for me is worse than lying in this mess . " Which response is the best ?

" During the bath , I'll start teaching you about bowel training . "

Which short - term goal would a nurse develop when planning care for a client 1 week after the client experienced a spinal cord injury at the T3 level ?

" The client will carry out personal hygiene activities . "

Which distinguishing sign unique to a fat embolus will a nurse montor for in a client with a distal femoral shaft fracture who is at risk for developing a fat embolus ?

Petechiae

The nurse plans to monitor for signs of autonomic dysreflexia in a client who sustained a spinal cord injury at the T2 level . Which statement explains the nurse's rationale ?

There is damage above the sixth thoracic vertebra .

Which problem is the nurse trying to prevent by encouraging a client with a spinal cord injury to increase oral fluid intake ?

Urinary tract infections