An older patient lives at home alone. Which assessment data would ...

[DyllonKazuo]

An older patient lives at home alone. Which assessment data would indicate modifiable risk factors for a hip fracture?
 
  Select all that apply.
  1. complaints of lower extremity weakness
  2. problems with balance
  3. medications: atenolol 50 mg daily, lisinopril 10 mg daily, Xanax 0.25 mg daily, Seroquel 50 mg daily
  4. report of sleeping with two pillows
  5. complaints of nonproductive dry cough

Question 2

A patient is diagnosed with a humeral fracture. What should the nurse identify as a priority treatment goal for the patient?
 
  1. immediate surgical correction
  2. immobilizing the fractured bone in normal anatomic position
  3. applying ice and compression to the injured arm
  4. applying elastic bandage wrap and elevating the arm

[ApricotDream]

Answer to Question 1

Correct Answer: 1, 2, 3

Modifiable risk factors for hip fracture include lower body weakness, problems with walking and balance, and taking four or more medications or any psychoactive medications. Sleeping with pillows and having a nonproductive cough are not considered modifiable risk factors.

Answer to Question 2

Correct Answer: 2

The priority is to immobilize the bone so that the fracture will heal in its correct anatomic position. This will allow unimpaired range of motion and prevent deformities or misalignment of the arm. Immediate surgical correction is not the correct intervention for this diagnosis. Applying ice, compression, or an ace wrap to the injured arm is not the top priority intervention. Elevation is also not the priority intervention.