A client has had surgical repair of a hip injury after joint manipulation was unsuccessful. After surgery, the nurse implements measures to prevent complications. Which complications is the nurse seeking to prevent? Select all that apply.

What are the priority nursing interventions in the care of a client who is a two day post op total hip replacement?  Select all that apply.

An older adult client experienced a fall and required treatment for a fractured hip. Which of the following are contributory factors to the incidence of falls and fractured hips among the older adult population? Select all that apply.

The nurse on the orthopedic unit is going to lunch and is conducting a “hand-off” communication to the charge nurse. The goal of “hand-off” communication is to do which of the following?

The nurse is caring for a stable client in Buck’s traction. Which task is best to delegate the Unlicensed Assistive Personnel (UAP)? Select all that apply.

Colchicine is prescribed for a client with a diagnosis of gout. Before this drug is administered the nurse will monitor which lab values?

A client was admitted with a possible diagnosis of osteomyelitis. Based on the documentation below, which laboratory result is the priority for the nurse to report to the physician?  03/12/XX 0900 Client admitted with elevated temperature of 102o F, complaining of bone pain and muscle spasms. Laboratory called with the following results; rheumatoid factor negative, blood culture positive (+) for Staphylococcus aureus, alkaline phosphate 60 International Units/Liter, erythrocyte sedimentation rate 10mm/hr.                                         Susan Wright, RN  

The nurse is caring for a client who is post total hip replacement and reports that they heard a “popping” sensation in the affected hip, what is the best action by the nurse?

A client comes into the Emergency Room and states “I think I dislocated my shoulder playing tennis.”  What assessment will the nurse make?

Case Study Question 2  The nurse is caring for a 23-year-old client admitted to the medical-surgical unit following surgery for a compound fracture of the right tibia and fibula. Nurses’ Notes   0830: Admitted from Post Anesthesia Care Unit following surgery to repair an open fracture with internal fixation with application of a fiberglass cast. R lower extremity elevated. IV infusing as ordered. Client medicated for pain prior to transport. Vital Signs BP 110/72, HR 90, RR 29, Temp 99F (37.2C). Unable to assess pedal pulse on R lower extremity due to cast. Motion of toes limited by pain and cast. Will monitor for signs of acute complications. 0930: Client resting at this time. Will continue to monitor. 1100: Client reporting pain 10/10 in R lower extremity. Updated neurovascular checks.    Neurovascular Flowsheet   Right Lower Extremity Pain Score  0-10/10 Motion F = full L = limited N = none Sensation F = full P = partial N = none Capillary Refill B = brisk < 3 seconds S = sluggish > 3 seconds Color N = normal P = pale D = dusky C = cyanotic Warmth H = hot W = warm T = tepid C = cold   Pulse 4+ bounding 3+ increased 2+ normal 1+ weak 0 absent UTA unable to assess     Time:  0830 3/10 L F B N W UTA 0930 3/10 L F B N W UTA 1030 4/10 L F B N W UTA 1100 10/10 N N S P T UTA Orders   0830: Admission Orders: Bedrest with right leg elevated on 2 pillows May use bedside commode with assistance, no weight bearing to R lower extremity Advance to Regular diet as tolerated VS and neurovascular checks every hour for 4 hours then every 4 hours   *Please select ALL the signs of “acute complications” you may find during your patient assessment.