Read the following case study, then refer to the case study to answer the questions.

The nurse is caring for a 22-year-old male client admitted with multiple injuries resulting from a motor vehicle accident.

\begin{tabular}{|l|l|l|l|}
\hline
\begin{tabular}{l}
Primary Care Provider \\
Admitting Notes
\end{tabular}
& Nurse's Notes
& Prescriptions
& Lab Values
\\
\hline
1955 & Alert and oriented 22-year-old client admitted post motor vehicle accident (rear ended) after being seen in ED. Diagnosis: Fracture of right femur, right clavicle, and right ribs [tex]$5 \& 6$[/tex]. Seat belt contusion noted across chest. Chest wall symmetrical. No lifts, heaves, or thrills. No murmurs, gallops, or rubs are auscultated. S1 and S2 are of normal intensity. No S3, S4. EKG shows sinus tachycardia at [tex]$114 / min$[/tex]. Pulse oximetry reading [tex]$98 \%$[/tex] on oxygen [tex]$2 L / nc$[/tex]. Lungs clear bilaterally. Radial pulses equal [tex]$+3 /+4$[/tex] and regular. Pedal pulses: Right [tex]$+2 /+4$[/tex], Left [tex]$+3 /+4$[/tex]. Pain of 9 on a 1-10 pain scale to right shoulder, right chest, and right leg relieved with morphine 4 mg IV. Vital signs: [tex]$T 98.2^{\circ} F \left(36.7^{\circ} C \right)$[/tex], RR 24 shallow, BP [tex]$148 / 88$[/tex]. Skin warm and dry. Right arm immobilized in sling. Scheduled for open reduction and internal fixation (ORIF) right femur. & 2230 Client stable following ORIF right femur. Alert, oriented. Vital signs within normal limits/afebrile. Lactated Ringers 1 liter infused. Postop Hct: 36. Fiber cast dry/intact. Post op plan: IV hydration, Cefoxitin 1 gram every 8 hours, physical therapy.
\\
\hline
\end{tabular}

Complete the following sentence(s) by choosing from the list of options:

The client has likely developed a



Answer :

Based on the information provided, it seems like the missing part of the sentence might discuss a possible complication or condition the client has developed post motor vehicle accident and subsequent surgery. Considering the details provided in the nurse's and primary care provider's notes, let’s detail potential conditions:

1. Pain and Injury: The client has significant pain rated at 9 on a 1-10 scale, and sustained fractures on the right side affecting the femur, clavicle, and ribs.
2. Tachycardia: An EKG shows sinus tachycardia at 114 bpm, which means the heart is beating faster than normal.
3. Post-op Care: Postoperative care includes IV hydration, antibiotics, and physical therapy.

Given these details, a likely condition could be "acute pain", given the reported pain levels and injuries. However, if considering a broader range of possible complications after the surgery, he may also be at risk for "postoperative infection" or "deep vein thrombosis (DVT)" due to the trauma and resultant immobilization from the femur surgery.

A complete sentence could thus be:
"The client has likely developed acute pain due to the fractures and subsequent surgery, but the care plan includes measures to address possible postoperative infection and risk of DVT."

Options to complete the sentence might include:
- Acute pain
- Postoperative infection
- Deep vein thrombosis (DVT)
- Compartment syndrome (if considering muscle pressure conditions)
- Sinus tachycardia

To choose the most appropriate answer, the specific context or focus asked in the question (immediate postoperative condition, pain management, infection risk, etc.) should be considered.

Therefore, a suitable completion for the given sentence could be:

"The client has likely developed acute pain due to the trauma from the motor vehicle accident." or "The client has likely developed sinus tachycardia in response to the stress and injury from the accident and surgery."