Post-Quiz Edith Jacobson

Which fall precautions should the nurse establish for Edith Jacobson after repositioning?

- Make the call light easily accessible - Educatie the patient to use the call light if she needs to get up - Remind the patient that she is at high risk for falls due to her medications

Which complications is Edith Jacobson at risk for because of her age and hip fracture?

- Pneumonia - Pressure ulcers - Mental deterioration

Which statement by the nurse indicates a need for further education related to a focused neurovascular assessment on Edith Jacobson?

I am going to check the pulses in your unaffected limb

Antiembolism stockings often have an inspection window. Which statement by the nuse indicates understanding of the purpose of the inspection window?

I will place the inspection window on top of the foot so I can easily assess capillary refill, remperature, and pulses of the patient's feet

Edith Jacobson has been taking raloxifene for her osteoporosis. What is the priority nursing consideration for talozifene related to the patient's current hip fracture?

Monitor for blood clot formation

What is the priority outcome for Edith Jacobson in relationship to her hip fracture?

The patient will be able to walk with an assistive device without the fear of falling

Edith Jacobson needs to be frequently repositioned. Why should the task take two people?

To prevent additional injury to the patient

What should the nurse anticipate needing to teach Edith Jacobson before discharge in relationship to her hip fracture and mobility?

Use of assistive devices such as a walker

The nurse comes into the room and observes Edith Jacobson moaning and guarding her leg. What should the nurse do next?

Administer pain medication

What would be a priority nursing diagnosis for Edith Jacobson related to her psychsocial needs?

Anxiety