A patient with fractures of the femur and pelvis is restless and has a heart rate of 112 and a respiratory rate of 28 . What actions should the nurse take?
a. Notify the healthcare provider and check vital signs.
b. Restrict physical activity and elevate the head of the bed.
c. Reposition the patient and administer pain medication.
d. Listen to the lung sounds and give a mus-cle relaxant.
A
The patient is experiencing the signs and symptoms of a fat embolus and needs emergency treatment by the physician. The nurse should stay and monitor the patient. This patient already has restricted mobility as a result of the injuries. Elevating the head of the bed may help the res-piratory effort, but the first action should be to notify the healthcare provider of the emergency. There are no data to indicate the need to administer either pain medication or a muscle relaxant.
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