Which assessment finding in a 35 year old male patient with multiple long bone fractures of...

Which assessment finding in a 35 year old male patient with multiple long bone fractures of the lower extremities indicates to the RN that an arterial blood gas study should be requested immediately?

a. Petechial rash

b. prolonged capillary refill in the toes

c. Acute changes in vision

d. Sudden onset of irritability and confusion

Solutions

Expert Solution

ANSWER IS OPTION D

Sudden onset of irritability and confusion

Arterial blood gas is a blood test which is used to give an indication of ventilation ,gas exchange and acid-base status and is taken from an arterial blood supply .FAT EMBOLISM SYNDROME [FES] is a multi-organ disorder with potentially serious sequelae that is commonly seen in the orthopaedic patient population after femur fractures.one of the clinical features of FES is altered mental status and irritability

PETECHIAL RASH [tiny round ,brown -purple spot due to bleeding under the skin] is due to minor trauma or widespread due to blood -clotting disorder.-not related to multiple long bone fracture

Prolonged Capillary refill time suggest peripheral artery diseases.In that case it is not necessary to take ABG.

Commonly patient with lower extremity fracture will not experience any disturbance in his vision related to management of fracture..

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

You have been assigned to care for Jack, a 15-year-old patient who sustained multiple fractures of...

You have been assigned to care for Jack, a 15-year-old patient who sustained multiple fractures of the lower extremities in a skiing accident. Morphine sulfate is one of the drugs used in his care. Jack’s parents are aware of the need for various treatments, including the use of morphine sulfate to treat his pain, but they worry he may become addicted to the medication. Question 1; How would you proceed in addressing their concerns of addiction and opioids? question 2:...

A 53-year-old male patient with an established diagnosis of IgG ? multiple myeloma was seen by...

A 53-year-old male patient with an established diagnosis of IgG ? multiple myeloma was seen by a hematologist?oncologist in consultation from an outside hospital. He had previously received 1 cycle of chemotherapy treatment, but he was found to be Intermittently noncompliant with his therapy. The patient reported occasional nosebleeds and fatigue. Except for a slightly cachectic appearance, the physical examination was unremarkable. Laboratory results are shown in Table 1. Serum protein electrophoresis revealed monoclonal paraproteinemia in high abundance marked by...

A 35-year-old male presented to clinic with dyspnea. Examination and Investigations revealed that the patient has...

A 35-year-old male presented to clinic with dyspnea. Examination and Investigations revealed that the patient has low cardiac output. Treatment involved drugs that increase the heart contractility. Which of the following reasons can be involved in decreasing the cardiac contractility in this patient? Digitalis intake Increase thyroxine level Increase glucagon level Rising extracellular levels of K+

Case #9 A 53-year-old male patient with an established diagnosis of IgG ? multiple myeloma was...

Case #9 A 53-year-old male patient with an established diagnosis of IgG ? multiple myeloma was seen by a hematologist–oncologist in consultation from an outside hospital. He had previously received 1 cycle of chemotherapy treatment, but he was found to be Intermittently noncompliant with his therapy. The patient reported occasional nosebleeds and fatigue. Except for a slightly cachectic appearance, the physical examination was unremarkable. Laboratory results are shown in Table 1. Serum protein electrophoresis revealed monoclonal paraproteinemia in high abundance...

The patient is a 38 year old male plant manager and new long distance runner presenting...

The patient is a 38 year old male plant manager and new long distance runner presenting with complaints of left anterolateral hip and thigh pain. He was referred to physiotherapy from his orthopedist, who diagnosed him with greater trochanteric bursitis. His onset of symptoms was 6 weeks prior to the initial evaluation, after running a marathon (26.2 miles). By the end of the race, he was in intense, constant pain, rated at a 5/10 that remained constant for 3 days...

My 37 year old male patient has a history of anxiety. My initial assessment, I assessed...

My 37 year old male patient has a history of anxiety. My initial assessment, I assessed the patient cognitive level and monitor vital signs. I wanted to rule out cardiovascular issues and ensure the patient is receiving enough oxygen. The patient is screaming and visualizing thing that are not there. As the nurse I recognize that the patient is having hallucinations and is unable to speak. The assessment shows that the patient is experiencing a panic attack. Some nursing intervention...

Cognitive / Functional Ability Learning Assessment Patient Profile T.Y. is a 32-year-old male who presented to...

Cognitive / Functional Ability Learning Assessment Patient Profile T.Y. is a 32-year-old male who presented to the emergency department who was found unresponsive and incontinent. He has a history of seizures. Upon questioning, he is lethargic and oriented to name and date only. He states he hasn’t been sleeping well and has been really stressed lately due to cutbacks at his place of employment. He has been seen in the emergency department for viral influenza 13 days ago. At that...

Patient: A 35-year-old male who is married and has two school-aged children (8 and 10 years...

Patient: A 35-year-old male who is married and has two school-aged children (8 and 10 years old). Job History: Patient joined the military upon graduating from high school. He was unsure of a profession/career to pursue. Patient was in the United States Marines for 8 years. He reports two tours of duty overseas; one of those tours being spent in Iraq. While in the military, patient earned his bachelor’s degree in business. Patient currently works as a manager in a...

A 45-year-old male Black patient has had Type2 diabetes for 5 years. He is a long-haul...

A 45-year-old male Black patient has had Type2 diabetes for 5 years. He is a long-haul truck driver. His trips frequently have him driving 12 to 14 hours per day. His current diet consists of fast food, high fat and high carbohydrate foods, high sodium intake and minimal vegetable consumption. He does not exercise and has smoked one pack of cigarettes a day since his early twenties. List all of his risk factors, modifiable and non-modifiable for his diabetes and...

A 55-year-old male presented with bone pain in his spine and chest in addition to extreme...

A 55-year-old male presented with bone pain in his spine and chest in addition to extreme fatigue and anemia. The clinician ordered several tests with the following results: Lab Report Hemoglobin: 9.7 (13.8 - 17.2 g/dL) Calcium: 11.4 (8.5 - 10.2 mg/dL) Creatinine clearance: 35 (97 - 137 mL/min) Total Protein: 8.1 (6.0 - 8.0 g/dL) Albumin: 3.3 (3.5 - 5.5 g/dL) SPE: monoclonal IgA (1.5 g/dL) Bence-jones proteins present in urine. What is the patient's likely condition, given the reports...

Subjects