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
