EditJaFunds vSIMS

Docusate sodium 100mg. Pharmacy supplies a50mg/15ml.

10mL

Edith moaning and guarding leg.

Administer pain medication

Psychosocial needs nursing diagnosis?

Anxiety

Priority outcome about hip fracture?

Be able to walk with assistive device w/o fear falling

Fall precautions SATA

Call light accessible Educate about using the call light Remind patient about risk for falls due to medications

Age related changes increase the risk for complications. SATA

Decreased skin elasticity Fragile blood vessels Altered pain and pressure perception Decreased muscle strength and bone demineralization

Subjective questions by the nurse demonstrate familiarity with commonly occurring disorders...

How well do you sleep? Difficulty eating? First time fallen?

Anti-embolism stocking window

I will put the inspection window on top of the foot so I can easily assess capillary refill, temp and pulses.

Need further education

Im going to check pedal pulses on unaffected limb

Raloxifine for osteoporosis...

Monitor for blood clot formation

focused musculoskeletal assessment on patient with hip fracture.SATA

Pain Joint tenderness Range motion muscle weakness

Which complication Edith Jacobson at risk for her age...

Pressure ulcers Mental deterioration Pneumonia

Hip fracture and confined to bed. Priority action?

Reposition every 2 hours.

An older adult patient has been admitted for hip fracture. The nurse is assessing a fall risk tool. SATA

Symptoms of dizziness. High-risk medications Mental and emotional status Altered elimination

Devices such as pillows, trapeze bars, special mattresses, and trochanter rolls are used for

To alleviate pressure and maintain proper alignment.

Reposition task of two people. Why?

To prevent additional injury to patient

When discharge info...

Use of assistive devices like a walker

Interventions anticipated for older adult with hip fracture. SATA

non weight bearing prevent skin breakdown by... legrolling techniques reassess extremity