An older adult patient has fallen in her home and is brought to the emergency department by ambulance with a suspected fractured hip. X-rays confirm a fracture of the left femoral neck
When planning assessments during the patient's presurgical care, the nurse should be aware of the patient's heightened risk of what complication?
A) Osteomyelitis
B) Avascular necrosis
C) Phantom pain
D) Septicemia
Ans: B
Feedback:
Fractures of the neck of the femur may damage the vascular system that supplies blood to the head and the neck of the femur, and the bone may become ischemic. For this reason, AVN is common in patients with femoral neck fractures. Infections are not immediate complications and phantom pain applies to patients with amputations, not hip fractures.
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The common causes of delirium at end of life may include:
a. constipation, dyspnea, pain b. dyspnea, happiness, frustration c. tachycardia, diarrhea d. none of the above
A client has been hospitalized for 6 weeks. All of the following interventions are good ones, but which intervention is specifically focused on helping the patient cope with the emotional responses to prolonged hospitalization?
a. Providing skin care every shift to prevent skin breakdown b. Encouraging the patient to get up in a chair to eat meals c. Assisting the patient to ambulate in the hallway for several minutes each day d. Designating a corner of the patient's room to display personal mementos
The major difference between illness and disease is that illness is highly individual and personal, whereas disease is something more definitive and measurable
Indicate whether the statement is true or false
The nurse plans discharge teaching for a patient with chronic heart failure who has prescriptions for digoxin (Lanoxin) and hydrochlorothiazide (HydroDIURIL). Appropriate instructions for the patient include
a. limit dietary sources of potassium. b. take the hydrochlorothiazide before bedtime. c. notify the health care provider if nausea develops. d. skip the digoxin if the pulse is below 60 beats/minute.