The nurse suspects that a patient is experiencing fat embolism syndrome (FES). Which assessment data support the nurse's clinical decision?

Question

Select all that apply.
1. pulse oximetry 88%
2. petechiae observed on the chest and upper arms
3. complaints of shortness of breath
4. respiratory rate 32
5. skin warm and dry

Answer 1

Correct Answer: 1, 2, 3, 4

Pulmonary circulation may be disrupted, and free fatty acids damage the alveolar-capillary membrane. Pulmonary edema, impaired surfactant production, and atelectasis can result in significant respiratory distress syndrome. Petechiae may result from microvascular clotting or the accompanying thrombocytopenia. Respiratory manifestations of dyspnea and tachypnea are often the first indicators of FES. Warm, dry skin is a normal finding.