Which finding in a client with a fractured femur in skeletal traction should be reported?

In the context of skeletal traction for a fractured femur, the presence of chest petechiae is significant and warrants immediate reporting. This finding could indicate a serious condition known as fat embolism syndrome, which can occur when fat globules enter the bloodstream, often following fractures of long bones like the femur. The formation of petechiae, small red or purple spots on the skin, especially in the chest area, is a classic sign of this syndrome, indicating that there might be a severe reaction and potential compromise of respiratory function.

While localized swelling, increased pain at the site, and discoloration of the limb are important observations that require monitoring and may indicate issues such as infection, inflammation, or compromised blood flow, they are not as immediately alarming as the presence of chest petechiae. Recognizing and reporting potential signs of fat embolism early is crucial in preventing further complications, such as respiratory distress or failure. Therefore, among the findings listed, the appearance of chest petechiae is the most critical and should be escalated to the healthcare provider promptly.