A patient with a fractured femur suddenly develops dyspnoea, confusion, and a fine petechial rash on the upper chest. Which nursing action has priority?
Correct answer: B. Administer oxygen and notify the emergency team
- A. Encourage walking to improve circulation
- B. Administer oxygen and notify the emergency team
- C. Massage the affected leg to reduce swelling
- D. Give oral fluids and observe for one hour
Explanation
The combination of respiratory distress, neurological changes, and petechiae suggests fat embolism syndrome after a long-bone fracture. Oxygenation and urgent medical review are priorities because impaired breathing threatens life before comfort measures or oral intake.
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About Burns and Trauma Nursing
Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.
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50 free Burns and Trauma Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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