A patient with a fractured femur suddenly develops shortness of breath, confusion and a fine petechial rash on the upper chest. Which action should the nurse take first?
Correct answer: A. Place the patient in a high-Fowler position and administer oxygen
- A. Place the patient in a high-Fowler position and administer oxygen
- B. Encourage the patient to walk to improve circulation
- C. Massage the legs to prevent venous stasis
- D. Give oral fluids and reassess the patient later
Explanation
These findings suggest fat embolism syndrome after a long-bone fracture. Breathing is the immediate priority, so the nurse positions the patient upright, gives oxygen as prescribed and seeks urgent medical help. Walking and leg massage may worsen the patient's condition.
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About Orthopaedic Nursing
Covers fractures, dislocations, arthritis, osteoporosis, joint replacement, spinal disorders and complications of immobility. It includes neurovascular assessment, traction and cast care, mobility assistance, pain control, prevention of pressure injuries and deep vein thrombosis, and the difference between compartment syndrome and ordinary postoperative swelling.
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