A nurse is admitting an 83-year-old female patient who arrives at the emergency department by ambulance after falling on the ice outside her senior citizens' housing facility. The admitting diagnosis is right hip fracture
What would be most important for the nurse to assess?
A) Leg shortening
B) Complaints of pain
C) Neurovascular compromise
D) Internal or external rotation
Ans: C
Feedback: Because impaired circulation can cause permanent damage, neurovascular assessment of the affected leg is always a priority assessment. Leg shortening and internal or external rotation are common findings with a fractured hip. Pain, especially on movement, is also common after a hip fracture.
You might also like to view...
Certain psychiatric diagnoses are associated with stereotypes. Which of the following actions ensures that the client's social identity is not discredited?
A) Refer to a client as a paranoid. B) Refer to a client as a schizophrenic. C) Refer to a client as X, who has a diagnosis of schizophrenia. D) Refer to a client as delusional and psychotic.
The waxy substance secreted by glands in the ear is:
a. Cerumen b. Malleus c. Incus d. Cochlea
A nurse is working with a patient to improve self-concept using an intervention directed toward self-evaluation. Which intervention is best?
a. Providing support measures to reduce the patient's anxiety b. Clarifying that the patient's beliefs affect the patient's feelings and behaviors c. Documenting the patient's use of both logical and illogical thinking d. Helping the patient understand that the patient alone can bring about personal change
It is helpful to use which position when turning and moving a bariatric patient up in bed?
A) Modified Trendelenburg position B) Sims' position C) High Fowler's position D) Dorsal recumbent position