Author Question: The 80-year-old patient has fallen. The fall impacted the right arm and hip. The patient describes ... (Read 49 times)

future617RT

  • Hero Member
  • *****
  • Posts: 543
The 80-year-old patient has fallen. The fall impacted the right arm and hip. The patient describes the fall as painful, the skin is intact, and neither edema nor redness is noted. What is the emergency department care team's best course of action?
 
  A) Discharge the patient home with instructions to follow up with the family doctor if further pain is noted.
  B) Assess the patient for fractures in spite of the absence of obvious signs or symptoms.
  C) Refer the patent to physiotherapy for rehabilitation.
  D) Design an exercise program to increase the patient's stamina to prevent future falls.

Question 2

In which of the following situations would the use of physical restraints most likely be justified?
 
  A) Mr. Y is agitated and aggressive while he is experiencing severe withdrawal from alcohol and is not responding to chemical sedation.
  B) Mrs. U, who has a diagnosis of dementia, was found wandering outside the hospital and nurses have been unable to redirect her to stay on the unit.
  C) Mr. I is delirious during the acute stage of his urinary tract infection and is ringing the call bell nearly continuously.
  D) Mrs. T is frequently entering other patients' rooms and attempting to crawl into others' beds.



Bsand8

  • Sr. Member
  • ****
  • Posts: 327
Answer to Question 1

B
Feedback:
The absence of common signs and symptoms of fracture does not rule out the possibility of a fracture in older adults; a diagnostic workup would be indicated. Discharge would be premature, as would physiotherapy and an exercise program.

Answer to Question 2

A
Feedback:
Answer A best characterizes a situation where the client poses a risk and where restraints are a necessary last resort. In each of the other situations, alternative strategies should be implemented to address the problem in question.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

A strange skin disease referred to as Morgellons has occurred in the southern United States and in California. Symptoms include slowly healing sores, joint pain, persistent fatigue, and a sensation of things crawling through the skin. Another symptom is strange-looking, threadlike extrusions coming out of the skin.

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

You should not take more than 1,000 mg of vitamin E per day. Doses above this amount increase the risk of bleeding problems that can lead to a stroke.

For a complete list of videos, visit our video library