When an older woman falls down at church and immediately complains of severe pain in her left hip, the choir director recognizes the cardinal sign of a fractured hip when he sees:
1. the left leg is shorter than the right.
2. downward curled toes.
3. internal rotation of the left leg.
4. hematoma on the left hip.
1
The classic sign of a fractured hip is a shortened limb on the affected side, with an externally rotated limb.
PTS: 1 DIF: Cognitive Level: Application REF: 920
OBJ: 1 TOP: Fractured Hip
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
# 8. The patient has just had a plaster of Paris upper extremity cast placed because of a fractured radius. The statement indicating that the patient understands the discharge teaching related to cast care is:
1. "When I get home, I will remove some of the padding if it feels tight so my fin-gers don't swell."
2. "When I get home, I will wrap the cast in plastic so it will conserve the heat."
3. "When I get home, I will use a spoon handle to scratch inside if my arm itches."
4. "When I get home, I am going to rest in bed with my arm elevated above my head."
4
Resting with the limb elevated above the head helps prevent swelling.
PTS: 1 DIF: Cognitive Level: Analysis REF: 920
OBJ: 5 TOP: Cast Care KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Psychosocial Integrity
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