Questions: The nurse is caring for a client post-open reduction internal fixation surgery. Which complications should the nurse monitor for? Select all that apply. Respiratory distress Fat embolism syndrome Elevated blood urea nitrogen and creatinine Elevated serum potassium Hypovolemia

The answer includes the following options:

• Respiratory distress
• Fat embolism syndrome
• Hypovolemia

Explanation for each option:

1. Respiratory distress: Correct. Post-surgery, especially after orthopedic procedures like open reduction internal fixation, patients are at risk for respiratory complications due to anesthesia, immobility, and potential complications such as pneumonia or pulmonary embolism.

2. Fat embolism syndrome: Correct. This is a known complication after orthopedic surgeries, particularly those involving long bones. Fat globules can enter the bloodstream and cause blockages in the lungs, leading to respiratory distress and other systemic symptoms.

3. Elevated blood urea nitrogen and creatinine: Incorrect. While monitoring kidney function is important, elevated BUN and creatinine are not direct complications of open reduction internal fixation surgery. They are more indicative of renal issues, which are not typically a direct result of this type of surgery.

4. Elevated serum potassium: Incorrect. Elevated serum potassium is not a common complication of open reduction internal fixation surgery. It is more commonly associated with conditions like renal failure, tissue breakdown, or certain medications.

5. Hypovolemia: Correct. Blood loss during surgery can lead to hypovolemia, which is a decreased volume of circulating blood in the body. This is a critical condition that needs to be monitored and managed postoperatively.

Summary: The nurse should monitor for respiratory distress, fat embolism syndrome, and hypovolemia in a client post-open reduction internal fixation surgery.