The nruse is providing care to several clients on a medical-surgical unit. Which client is at highest risk for a nonthrombotic pulmonary embolism?
A) The client who is receiving intravenous pain medication.
B) The client who is postoperative from a femur fracture repair.
C) The client with a primary lung tumor.
D) The client who uses intravenous illicit drugs.
Answer: B
Fat emboli are the most common nonthrombotic pulmonary emboli. A fat embolism usually occurs after fracture of long bone (typically the femur) releases bone marrow fat into the circulation. The other clients may be at risk for pulmonary embolism; however, they are incorrect choices for the most common cause of nonthrombotic pulmonary emboli.
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