The nurse is assessing an older adult client in a long-term care ...

[jman1234]

The nurse is assessing an older adult client in a long-term care facility after a fall. Which finding requires priority action?
 
  A) The injured leg is shortened and externally rotated.
  B) Redness and severe swelling are found at the hip joint.
  C) Pain is relieved by moving the affected extremity.
  D) The patient is repeatedly flexing the injured leg at the hip.

Question 2

The community health nurse is planning education for a group of individuals from Alcoholics Anonymous on the risk factors for liver disease.
 
  The group has a high number of Native Americans in attendance. What should the nurse explain as the reasons for the high incidence of cirrhosis in this ethnic group?
  Select all that apply.
  A) Pollution
  B) Variations in alcohol metabolism
  C) Stress due to socioeconomic factors
  D) Consuming alcohol with food
  E) Climate

[soda0602]

Answer to Question 1

Answer: A

The client with a fractured hip is often in extreme pain and assumes a position with the leg on the affected side shortened and externally rotated because of gravity and the pull of the muscles. Any movement of the leg on the side of the affected hip is likely to cause severe muscle spasms and further pain. Redness and swelling are the classic signs of inflammation not immediately present after hip fracture. Extreme pain associated with hip fracture prevents any voluntary movement in the leg.

Answer to Question 2

Answer: B, C

Alcohol consumption is the sixth-leading cause of death for Native Americans, particularly Alaskans. It is thought that contributing factors include variations in alcohol metabolism, socioeconomic factors that lead to stress, and, consuming alcohol without food. Climate and pollution are not factors.