The nurse is admitting a 69-year-old client with a possible hip fracture. The client is overweight, so the nurse understands that there is an increased likelihood risk for which of the following?
1. Decubiti
2. Degenerative joint disease
3. Chronic pain
4. Stroke
2
Rationale 1: Decubiti. Overweight clients may be at an increased risk for the development of decubiti but this is not a direct finding associated with a hip fracture.
Rationale 2: Degenerative joint disease. Overweight and obesity are risk factors for degenerative joint disease and functional and mobility problems as a result of the stressors on the joints from the excess weight.
Rationale 3: Chronic pain. There is no relationship between the client's weight, possible hip fracture and the presence of chronic pain.
Rationale 4: Stroke. There is inadequate information to support the risk for stroke.
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Mrs. Keller is a 67-year-old patient who is comatose. Richard is the student nurse caring for her. To minimize her risk for aspiration, he knows to avoid placing her in what position?
A. Semi-Fowler's B. Sims' C. Supine D. Lateral