Hip fracture

The nurse is caring for an older adult male who had open reduction internal fixation of the hip 24 hrs ago. The client is now experiencing shortness of breath and reports having tightiness in chest. The nurse reviews the recent lab results. The nurse should report which lab results to the health care provider? A)hematocrit: 40% (0.4) B) serum glucose: 120mg/dL C)troponin: 1:4 mcg/L D)erythrocytes sedimentation rear: 22mm/h

C troponin: 1.4 mcg/L

A client with a hip fracture has undergone surgery for insertion of a femoral head prosthesis. Which activity should the nurse instruct the client to avoid? A)crossing the legs while sitting down B)sitting on a raised commode seat C)using an abductor splint while lying on the side D)rising straight from a chair to a standing position

Crossing the legs while sitting down

A client with an extracapsular hip fracture scheduled for surgical internal fixation with the insertion of a pin. What can the nurse tell the patient about the reason for this type of treatment for a fracture? A) hemmorage at the fracture site is prevented B)neurovascular impairment risk is decreased C)the risk of infection at the site is lessened D)the client is able to be mobilized sooner

D the client is able to be mobilized sooner

A client with an extracapsular hip fracture returns to the nursing unit after internal fixation and insertion with a drainage tube at the incision site. Her husband asks, "why does she have this inserted in her hip? Which response would be? A)the tube helps us to detect a wound infection B) this way we will not have to irrigate the wound C) fluid will drain and not accumulate at the site D) we have a way to administer antibiotics into the wound

Fluid will drain and not accumulate at the site

A client in a double hip spica cast is constipated. The surgeon cuts a window into the front of the cast. Which outcome is intended? The window in the cast will allow: A)the nurse to palpate the superior mesentery artery B) the surgeon to manipulate the fracture C) the nurse to reposition the client D)relief from pressure due to abdominal distention

Relief from pressure due to abdominal distention

A client has an intracapsular hip fracture. The nurse should conduct a focused assessment to detect which change near the fracture? A) internal rotation B) muscle flaccidity C) shortening of the affected leg D)absence of pain area

Shortening of the affected leg