A client comes into the emergency department with a fractured femur that has punctured the skin on the lateral aspect of the thigh. Which of the following is a priority for this client?
1. Elevate the head of the bed
2. Provide intravenous fluids
3. Monitor blood pressure
4. Implement strict infection control precautions
4. Implement strict infection control precautions
Rationale:
The client has sustained an open fracture as evidenced by the skin integrity being interrupted on the lateral aspect of the thigh. An open fracture allows bacteria to enter the injured area and increases the risk of infection. The nurse should implement strict infection control precautions. The client's condition may or may not support elevating the head of the bed. Providing intravenous fluids will most likely be done with any time of limb fracture. Monitoring blood pressure is a standard intervention which may or may not be impacted by the open fracture.
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