What might a nurse assess for in a client with fractured ribs who develops thrombophlebitis?

In a client with fractured ribs who develops thrombophlebitis, it is crucial for the nurse to be vigilant about the risk of a pulmonary embolism. This condition can occur if a blood clot from the deep veins, often due to thrombophlebitis, dislodges and travels to the lungs, leading to serious respiratory complications.

The risk is particularly heightened in clients with rib fractures, as the associated pain may lead to reduced mobility, increasing venous stasis and the likelihood of clot formation. Therefore, evaluating for signs and symptoms of a pulmonary embolism, such as sudden onset of shortness of breath, chest pain, or increased heart rate, is an essential part of the assessment in this situation.

Identifying a potential pulmonary embolism early can significantly improve outcomes for the patient, making it a top priority for the nurse to assess in this clinical scenario.