An older adult client experiences a hip fracture. Prior to the injury, the client participated in golf and home maintenance activities. Based on this data, which surgical procedure does the nurse anticipate?
A) Total hip replacement
B) Open reduction and external fixation
C) Austin-Moore prosthesis
D) Open reduction and internal fixation
Answer: D
The open reduction and internal fixation is the surgical preference to repair a fractured hip for older adult clients who are active and will be able to use crutches with partial weight bearing. A total hip replacement is done only when severe arthritis is present. Austin-Moore prosthesis is preferred for the less active older adult client. Open reduction and external fixation is not a surgical option for a fractured hip.
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