CONCEPT: MOBILITY & FRACTURES (Medical-Surgical Nursing) 1. Martha Smitty, an 81-year-old patient, is admitted to the me

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Concept Mobility Fractures Medical Surgical Nursing 1 Martha Smitty An 81 Year Old Patient Is Admitted To The Me 1 (94.83 KiB) Viewed 46 times

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CONCEPT: MOBILITY & FRACTURES (Medical-Surgical Nursing) 1. Martha Smitty, an 81-year-old patient, is admitted to the medical-surgical unit after a recent fall resulting in a fracture of the right hip. Right leg immobilized with splint, right extremity shorter than left, peripheral pulses 2+ left extremity, right extremity- popliteal 1+, dorsal pedis 1+, pain 9/10 sharp, radiating down leg, capillary refill in right foot > 3 seconds, right extremity cold to touch, 3+ edema noted in lower right extremity. VS: T 97.6, 96, 24, 159/88 LUA; O2 sat 95%; patient stated decrease sensation in lower right extremity, tingling and numbness. What areas of information need to be gathered by the nurse during the patient's history? a. b. What assessment finding would the nurse anticipate finding on Mrs. Smitty? c. What tests were done to diagnosis the right fractured hip?? d. What should the nurse include in pre/post operative teaching for this pat nt?
e. Complete nursing care plan for this patient (don't use pain, infection, or skin integrity) Subjective/Objective Nursing Diagnosis Goal Strategies Data 1. 2. 3. 4. 5. 2. The nurse in the outpatient orthopedic clinic is reviewing the medical records of several patients being seen in the clinic today. In the most recent note by the provider, the nurse reads the following: "67-year-old, moderately obese woman examined today for increasing back and left shoulder pain. Limited circumduction of left arm noted in comparison with right arm. Strength of left arm is less than right, with less muscle definition in the left arm. Examination of back indicates significant kyphosis, and the patient states that she is shrinking.' Bone density testing of the hip is ordered." a. How does the nurse interpret "limited circumduction"? b. When the patient arrives, the nurse correlates the "kyphosis" with what physical finding? What causes kyphosis in the older adult?
c. How should the d. What is the rationale for ordering bone density testing for this patient? e. What medications and treatments would the nurse anticipate the physician ordering? Treatments Medications 1. 2. 3. 4. 5.