A nurse is caring for a client who has severe right wrist pain. Exhibits The nurse has completed the assessment on the client. Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing dropdownand dropdown.
Explanation & Rationale
• Osteomyelitis: The client sustained a distal radius fracture and has a history of osteoporosis, which increases susceptibility to complications. Any open skin injury or impaired healing around a fracture raises the risk of infection, which could progress to osteomyelitis if bacteria reach the bone tissue. • Metabolic alkalosis: This condition is associated with excessive loss of gastric secretions (e.g., vomiting, suctioning) or diuretic therapy. Although the client takes furosemide, the acute issue here is related to opioid-induced hypoventilation, not alkalosis. • Phlebitis: Phlebitis is an inflammation of the vein, often at the site of an IV insertion. The client has an IV, so phlebitis is a potential risk, but it is not a direct consequence of the reported vital signs or medication reactions. • Respiratory acidosis: The client experienced opioid-induced respiratory depression, with a respiratory rate dropping to 6/min and shallow breathing. Hypoventilation leads to CO₂ retention, increasing the risk for respiratory acidosis. • Hypervolemia: The client is receiving IV fluids at 150 mL/hr, but there is no indication of fluid overload yet. The greater concern is impaired breathing rather than fluid imbalance at this time.