NUR 353 DEV EXAM 2 (2026/2027)
NEWEST QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
VERIFIED ANSWERS
What is a fat embolism? - Correct Answer Presence of
systemic fat globules from fracture that are distributed into
tissues and organs after a traumatic skeletal injury
What is the mechanical theory? - Correct Answer Fat
released from marrow and enters circulation where it can
obstruct
What is the biochemical theory? - Correct Answer
Hormonal changes caused by trauma stimulate release of
fatty acids to form fat emboli
When are fat embolisms the most common? - Correct
Answer Most common with fracture of long bones, ribs,
tibia, and pelvis
What are the clinical manifestations of fat embolism (FES)
- Correct Answer Fat emboli in the lungs cause a
hemorrhagic interstitial pneumonitis.
Respiratory and neurologic symptoms
,Petechiae - neck, chest wall, axilla, buccal membrane,
conjunctiva
Start to see these 24-48 hours after injury
A patient frequently expresses a feeling of impending
disaster, their skin color has just changed from pallor to
cyanosis and their platelet count has decreased what
might they be experiencing?
What are some other symptoms you might be seeing? -
Correct Answer A fat embolism
- fat cells in blood, urine or sputum
- PaO2 is less than 60mm Hg
- ST segment and T-wave changes
- elevated ESR
-patient may be comatose
What are some ways to prevent a FES - Correct Answer
Careful immobilization and handling of a long bone
fracture probably the most important factor in prevention
Management is supportive and related to symptom
management
,Coughing and deep breathing
Administer O2
Intubation/ intermittent positive pressure ventilation
What would a nurse assess in a patient who has a
fracture? - Correct Answer -Apprehension
-Guarding
-Skin lacerations, color changes
-Hematoma, edema
-↓ or absent pulse, ↓ skin temperature
-Delayed capillary refill
-Paresthesias
-Absent, ↓ or ↑ sensation
-Restricted or lost function
-Deformities; abnormal angulation
-Shortening, rotation, or crepitation
-Muscle weakness
-Imaging findings
What are some psychosocial issues in a patient who has a
fracture? - Correct Answer Dependence in performing
ADLs
Family separation
Finances
Inability to work
, Potential disability
What are some health promotion things a nurse should
have in mind when dealing with a patient who has a
fracture? - Correct Answer Teach safety precautions.
Advocate to decrease injuries.
Encourage moderate exercise.
Safe environment to reduce falls
Calcium and vitamin D intake
What are the overall goals for someone with a fracture? -
Correct Answer Healing with no associated complications
Satisfactory pain relief
Maximal rehabilitation
What are the expected outcomes for a patient with a
fracture? - Correct Answer Adequate pain relief
Appropriate care of cast or immobilizer
No peripheral neurovascular dysfunction
Uncomplicated bone healing
NEWEST QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
VERIFIED ANSWERS
What is a fat embolism? - Correct Answer Presence of
systemic fat globules from fracture that are distributed into
tissues and organs after a traumatic skeletal injury
What is the mechanical theory? - Correct Answer Fat
released from marrow and enters circulation where it can
obstruct
What is the biochemical theory? - Correct Answer
Hormonal changes caused by trauma stimulate release of
fatty acids to form fat emboli
When are fat embolisms the most common? - Correct
Answer Most common with fracture of long bones, ribs,
tibia, and pelvis
What are the clinical manifestations of fat embolism (FES)
- Correct Answer Fat emboli in the lungs cause a
hemorrhagic interstitial pneumonitis.
Respiratory and neurologic symptoms
,Petechiae - neck, chest wall, axilla, buccal membrane,
conjunctiva
Start to see these 24-48 hours after injury
A patient frequently expresses a feeling of impending
disaster, their skin color has just changed from pallor to
cyanosis and their platelet count has decreased what
might they be experiencing?
What are some other symptoms you might be seeing? -
Correct Answer A fat embolism
- fat cells in blood, urine or sputum
- PaO2 is less than 60mm Hg
- ST segment and T-wave changes
- elevated ESR
-patient may be comatose
What are some ways to prevent a FES - Correct Answer
Careful immobilization and handling of a long bone
fracture probably the most important factor in prevention
Management is supportive and related to symptom
management
,Coughing and deep breathing
Administer O2
Intubation/ intermittent positive pressure ventilation
What would a nurse assess in a patient who has a
fracture? - Correct Answer -Apprehension
-Guarding
-Skin lacerations, color changes
-Hematoma, edema
-↓ or absent pulse, ↓ skin temperature
-Delayed capillary refill
-Paresthesias
-Absent, ↓ or ↑ sensation
-Restricted or lost function
-Deformities; abnormal angulation
-Shortening, rotation, or crepitation
-Muscle weakness
-Imaging findings
What are some psychosocial issues in a patient who has a
fracture? - Correct Answer Dependence in performing
ADLs
Family separation
Finances
Inability to work
, Potential disability
What are some health promotion things a nurse should
have in mind when dealing with a patient who has a
fracture? - Correct Answer Teach safety precautions.
Advocate to decrease injuries.
Encourage moderate exercise.
Safe environment to reduce falls
Calcium and vitamin D intake
What are the overall goals for someone with a fracture? -
Correct Answer Healing with no associated complications
Satisfactory pain relief
Maximal rehabilitation
What are the expected outcomes for a patient with a
fracture? - Correct Answer Adequate pain relief
Appropriate care of cast or immobilizer
No peripheral neurovascular dysfunction
Uncomplicated bone healing
