What symptoms should the nurse include in the care plan for a client at risk of fat embolism after a fractured hip?

In the context of fat embolism syndrome, the symptoms most relevant to include in a care plan for a client with a fractured hip are dyspnea and chest pain. Fat embolism typically occurs when fat globules enter the bloodstream and can lead to respiratory symptoms as they travel to the lungs. Dyspnea, or difficulty breathing, is a common manifestation as the fat globules can obstruct pulmonary blood vessels, reducing oxygen exchange and leading to respiratory distress. Chest pain may also arise due to the inflammatory response and the potential for fat globules affecting lung function.

Recognizing these symptoms is critical in identifying a potential fat embolus and initiating timely interventions to manage respiratory complications. This understanding is vital for nurses in monitoring patients who have experienced long bone fractures, like a fractured hip, as they are at higher risk for developing fat embolism syndrome within a few days post-injury.