The first day after surgery to repair a fractured hip sustained ...

[Chelseaamend]

The first day after surgery to repair a fractured hip sustained from a fall, an older adult client refuses to ambulate but states, I will consider it tomorrow.
 
  Which is the priority action by the nurse?
  A) Coordinate personnel to assist with ambulation.
  B) Document the client's refusal.
  C) Assess why the client is refusing to ambulate.
  D) Notify the healthcare provider.

Question 2

A postmenopausal client asks the nurse what she can do to prevent fracturing her hips, as her mother and grandmother both experienced this health problem. Which response by the nurse is the most appropriate?
 
  A) You should avoid all types of exercise.
  B) You should consider a smoking cessation program.
  C) You should limit your exposure to the sun.
  D) You should use throw rugs throughout the home.

[ebe]

Answer to Question 1

Answer: C

The first thing the nurse should do is assess why the client is refusing to ambulate. The client might be fearful of falling, which had already occurred and resulted in a fractured hip. Once this is assessed, the nurse could plan interventions that would facilitate ambulation, such as controlling pain and reducing the fear of falling. It is premature to notify the healthcare provider. The nurse should not force the client to get out of bed. Documenting the client's refusal is appropriate, after determining the reason for the refusal.

Answer to Question 2

Answer: B

The one modifiable risk factor for hip fractures is smoking. Women who smoke have a greater risk because smoking reduces bone density in menopausal and postmenopausal women. The client should not be instructed to avoid exercise; exercise will enhance the client's gait, balance, and musculoskeletal strength. Limiting sun exposure will not impact the client's risk of experiencing a hip fracture. The nurse should not instruct the client to use throw rugs throughout the home because this could cause tripping, leading to a fall.

[Chelseaamend]

Excellent

[kthug]

TYSM