Author Question: The nurse is presenting a program on surviving a fall at a senior center. Which statement indicates ... (Read 108 times)

dakota nelson · **on:** Jun 25, 2018

The nurse is presenting a program on surviving a fall at a senior center. Which statement indicates that the participant needs clarification of the content on emergency actions after a fall?

A) I should crawl to a phone on the affected side to keep it stable against a hard surface.
B) I need to subscribe to an emergency call service like Lifeline.
C) To call for help, I can scoot on my bottom to a low wall-mounted phone.
D) If possible, I can crawl to a stairway and use the stairs to lift up to a standing position.

Question 2

The nurse in an orthopedic outpatient clinic expects to see several clients with fractures for follow-up. After reviewing the clients' medical records, which client is at the highest risk of a delayed union?

A) 20-year-old college student with type I diabetes mellitus who sustained a fractured tibia in a bicycle accident. Nutrition recall tool completed during the last visit was consistent with American Diabetic Association (ADA) guidelines.
B) 62-year-old bartender with a history of peptic ulcer who sustained a fractured clavicle breaking up a fight at work. He was upset about abstaining from upper body resistance training.
C) 49-year-old teacher with osteoporosis who sustained an open ulnar fracture in a motor vehicle accident. Reports that she has cut down smoking to 10 cigarettes per day.
D) 55-year-old accountant who sustained fractures to the 4th and 5th right metatarsals. He has a history of hypertension under good control with medication.

LP · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

Clients at risk for falls and hip fractures should be taught how to notify emergency services in the event of a fall and injury. The client should turn onto the stomach and crawl to the phone. The client should participate in a 24-hour emergency alert service such as LifelineTM. The client can also scoot to the phone using their buttocks on the uninjured side. And another option is to crawl to a stairway and use the stairs to gradually lift self to a standing position.

Answer to Question 2

Answer: C

Evaluating risk of delayed union requires knowledge of the factors that impact bone healing. The client at greatest risk of delayed union had the risks of an open fracture and osteoporosis. The client also used tobacco, which decreases blood supply to the healing bone. Although diabetes does increase risk of delayed union, this client is young and exercised on a bicycle prior to the accident. If the client is following an ADA diet, there is adequate intake of vitamin D and calcium, which fosters bone healing. Peptic ulcer or controlled hypertension are not risks for delayed bone healing.