MS Fractured Hip

On the third day after surgery for a fractured hip, a client appears restless and says, "I can't stand this another minute. There's a wrinkle in my sheet, and the water in my pitcher is warm." The client changes position frequently and does not make eye contact with the nurse. Which interpretation of the client's behavior would the nurse use to determine additional actions?

increased levels of anxiety

Which position would the nurse use for placement of the affected extremity of a client who is recovering from an open reduction and internal fixation (ORIF) of a fractured hip?

moderate abduction

A client with dementia is admitted with a fractured hip after a fall at home. Four hours after admission, the client's blood pressure increases to a moderately severe hypertensive level and the client pulls on the bed clothes continuously. The client's family member asks for pain medication for the client. Which inference would the nurse make as the basis for an intervention?

The client may have pain and be unable to verbalize it.

After an open reduction and internal fixation of a fractured hip, the nurse is helping a client get out of bed into a chair. Which action would the nurse use to accomplish this transfer?

Coach the client to put the most weight on the unaffected leg and pivot to the chair.

An older adult fell at home and fractured the left hip. Which clinical indicator would the emergency department nurse identify as typical with a fractured left hip?

Left leg is noticeably shorter than the right.

A client with a fractured hip is placed in traction until surgery can be performed. Which goal would the nurse explain as the purpose of the traction?

Reliving muscle spasm and pain

The nurse is caring for a client who is 1 day postoperative for a left hip fracture repair. Which clinical finding would the nurse assess further?

Sudden SOB

The nurse is caring for an older adult who had an open reduction and internal fixation of a fractured hip. Which clinical finding requires the nurse to notify the PCP?

Complaints of right-sided chest pain 6 days postoperatively

Which assessment of the affected leg would the nurse make after a client has an open reduction internal fixation of a fractured hip?

Toes for mobility

Which priority nursing intervention would the nurse include in the plan of care for an older adult who sustained a right hip fracture?

VTE