A patient with a hip fracture suddenly experiences a drop in SpO2 levels and dyspnea. What other symptoms should the nurse anticipate?

In this scenario, where a patient with a hip fracture suddenly experiences a drop in SpO2 levels and dyspnea, the suspicion for a pulmonary complication, such as a fat embolism syndrome or deep vein thrombosis leading to pulmonary embolism, becomes significant. The presence of pleuritic chest pain and pleural friction rub aligns with potential complications related to pulmonary embolism or fat embolism, as these conditions can lead to irritation of the pleura or obstruction of blood flow and gas exchange in the lungs.

Pleuritic chest pain often occurs due to inflammation of the pleura, which may result from an embolic event. The pleural friction rub is a physical examination finding that signifies inflammation of the pleura, commonly associated with conditions such as pneumonia or pulmonary embolism.

Recognizing these symptoms helps provide direction for further diagnostic measures, such as imaging or blood tests, and initiates appropriate management to address the acute respiratory compromise the patient is experiencing.