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An 87 year old female is admitted to the hospital with a diagnosis of a hip...

An 87 year old female is admitted to the hospital with a diagnosis of a hip fracture secondary to a fall in her home. What clinical manifestations would you expect to see when assessing this patient?

What would be three nursing management considerations for this patient pre-operatively?
What would be three nursing management considerations post-surgical repair?
What would your neurovascular assessment of the lower extremity include?
Are there any positioning considerations, if so what are they?

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Answer #1

What clinical manifestations would you expect to see when assessing this patient?

The patient might have the following clinical manifestations.

  • Pain
  • Immobility
  • Muscle spasm
  • Ecchymosis
  • Delirium
  • Atelectasis
  • Pneumonia
  • Sepsis
  • Venous thromboembolism
  • Pressure ulcers

What would be three nursing management considerations post-surgical repair?

  • Pain management
  • Improving mobility
  • Deep vein thrombosis (DVT) prevention

What would your neurovascular assessment of the lower extremity include?

Neurovascular assessment of the lower extremity includes the following:

  • Colour
  • Temperature
  • Pedal pulses
  • Edema and swelling

The nurses should assess toes for the following:

  • Capillary refill response
  • Deep throbbing unrelenting pain
  • Passive flexion of the foot
  • Sensation change and numbness
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