Upon assessment, an elderly patient who is recovering after surgery for a hip fracture complains of chest pain and has an increased heart rate, respiratory rate, and is febrile and hypoxic
The patient is also coughing and producing large amounts of thick white sputum. The nurse recognizes that this is a medical emergency and calls for assistance because this patient is likely demonstrating symptoms related to:
A) Avascular necrosis of bone
B) Compartment syndrome
C) Fat embolism syndrome
D) Complex regional pain syndrome
Ans: C
Feedback: Fat embolism syndrome occurs most frequently in young adults and elderly patients who experience fractures of the proximal femur (ie, hip fracture). Presenting features of fat embolism syndrome include hypoxia, tachypnea, tachycardia, and pyrexia. The respiratory distress response includes tachypnea, dyspnea, wheezing, precordial chest pain, cough, large amounts of thick which sputum, and tachycardia.
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