ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

A 60-year-old client develops acute shortness of breath and progressive hypoxia, requiring mechanical ventilation after repair of a fractured right femur. The hypoxia was probably caused by which of the following conditions?
  1. Asthma attack
  2. Atelectasis
  3. Bronchitis
  4. Fat embolism
Explanation
Answer - D - Long bone fractures are correlated with fat emboli, which cause shortness of breath and hypoxia. It’s unlikely the client has developed asthma or bronchitis without a previous history. He could develop atelectasis, but it typically doesn’t produce progressive hypoxia.
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