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    Ati med surg proctored exam custom

    A nurse is caring for a patient who sustained a hip fracture and is limited to bed rest. Drag the words from the choices below to fill in each blank in the following sentence. Three complications commonly associated with hip fractures aredropdown, dropdown, and dropdown.

    Explanation & Rationale

    Choice A reason: While infection is a risk in any post-operative orthopedic patient, the current diagnostic results and provider orders specifically highlight other immediate physiological concerns. The patient's chest X-ray and mobility restrictions focus clinical attention on respiratory and circulatory complications rather than localized or systemic signs of infection, such as fever or elevated white cell counts. Choice B reason: This patient is at high risk for this complication due to prolonged bed rest and limited mobility following surgery. The chest X-ray shows patchy infiltrates in the lower lobes, which is a classic sign. The provider’s order for incentive spirometry every two hours is a direct intervention meant to rule out further lung collapse. Choice C reason: The patient exhibits sluggish venous flow and mild swelling in the lower limb, which are primary indicators of this vascular issue. Bed rest significantly increases the risk of clot formation in the deep veins. The administration of enoxaparin is a standard pharmacological intervention used to prevent this serious complication from developing or worsening. Choice D reason: Patients limited to bed rest after a hip fracture are highly susceptible to skin breakdown due to constant shear and pressure on bony prominences. The provider's order to turn and reposition the patient every two hours is a specific preventive measure. Maintaining skin integrity is a priority in patients with limited self-repositioning abilities. Choice E reason: Although this is a specific type of venous issue, the term venous thromboembolism is a broader and more comprehensive category that encompasses both deep vein clots and their potential migrations. In clinical testing and documentation, the more inclusive term is often preferred to cover the full spectrum of related risks for this patient. Choice F reason: While this is a life-threatening consequence of a displaced blood clot, the current documentation does not indicate acute respiratory distress, sudden chest pain, or tachycardia. The patient is currently being monitored and treated for the precursors, but the evidence more strongly supports the identification of the underlying venous and skin integrity risks.

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