Reference no: EM133916971

Question

MG, a 68-year-old white female with a history of osteopenia, fell down the three steps in her stairwell yesterday. She was transported via ambulance to the nearest hospital emergency department (ED). She has been experiencing severe pain in the left hip with bruising, swelling at that site. She is unable to bear weight on that left leg. During the initial assessment at the ED, the nurse notes her left leg is shorter than her right and is externally rotated. Distal pulses are present and bilaterally strong; both arms are warm. MG complains of +9/10 short throbbing pain in her left hip that increases with movement. Color, motor, and sensation (CMS) checks reveal no numbness or tingling is present. She is able to wiggle the toes on her left leg and has full movement in the right. An x-ray shows an intertrochanteric fracture of the left hip. Anticoagulants are started 8-hour post-surgery.

1. What might MG be in overnight to decrease pain and spasm? How would that traction effect the nursing care of MG?

2. What preoperative factors might decrease teaching effectiveness?

3. What is the surgical treatment for an intertrochanteric hip fracture?

4. What does the evidence- based science show us to help us combat post op infection?