NCLEX-PN

Category - Physiological Adaptation

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A client is admitted to the facility with multiple fractures, including fractures in both hips. A nurse is assigned to monitor the client 24 hours after surgery. The nurse should be most concerned if which sign is demonstrated by the client?

Severe nausea
Sudden chest pain
Increased respiratory rate
Leg cramps

Explanation

Answer: B - An abrupt chest pain occurring in post-operative clients who sustained multiple fractures may indicate the occurrence of pulmonary embolism. This manifestation is usually the initial symptom of pulmonary embolism.

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