Which assessment data would the nurse interpret as indicating a patient could be experiencing a fat embolus? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Pulse oximetry 86%
2. Petechiae on the chest and upper arms
3. Shortness of breath and chest pain
4. Respiratory rate 32
5. Skin hot, dry, and flushed
1,2,3,4
Rationale 1: Hypoxemia is one of the classic findings associated with fat embolism syndrome.
Rationale 2: Petechial rash is a late manifestation of fat embolism syndrome.
Rationale 3: Dyspnea is an early finding of fat embolism syndrome.
Rationale 4: Tachypnea is an early finding of fat embolism syndrome.
Rationale 5: Hot, dry, and flushed skin may indicate other pathology but is not associated with fat embolism syndrome.
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