Difficulty: Medium
Average Score: 72%
Simulated
Passage / Scenario
The following scenario applies to the next 1 itemsThe nurse cares for a client who sustained a femur fracture twelve hours ago
Item 1 of 1
NursesÔÇÖ Notes
Client reports shortness of breath and stated, ÔÇÿsomething is not right.ÔÇÖ The client was assessed to have a respiratory rate of 25/min and oxygen saturation of 90% while on room air. Lung sounds had bilateral crackles throughout, and respirations were labored. Chest pain was reported that worsened with breathing. An emergent 12-lead electrocardiogram was obtained, and it was observed that the client had reddish-purple spots on their torso. A rapid response was called.
The client is demonstrating signs and symptoms of
Correct answer
C
Rationale
Fat embolism syndrome is likely after a femur fracture, with symptoms like shortness of breath, bilateral crackles, chest pain, and petechiae on the torso. Pulmonary embolism and myocardial infarction are less directly tied to fractures, and compartment syndrome affects the limb.