An emergency department patient is diagnosed with a hip dislocation. The patient's family is relieved that the patient has not suffered a hip fracture, but the nurse explains that this is still considered to be a medical emergency
What is the rationale for the nurse's statement?
A) The longer the joint is displaced, the more difficult it is to get it back in place.
B) The patient's pain will increase until the joint is realigned.
C) Dislocation can become permanent if the process of bone remodeling begins.
D) Avascular necrosis may develop at the site of the dislocation if it is not promptly resolved.
Ans: D
Feedback:
If a dislocation or subluxation is not reduced immediately, avascular necrosis (AVN) may develop. Bone remodeling does not take place because a fracture has not occurred. Realignment does not become more difficult with time and pain would subside with time, not become worse.
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