Which action would the nurse take in caring for a client after surgical fixation of a clients right femur?
Explanation & Rationale
A. Perform a neurovascular assessment of the lower extremities is correct. After surgical fixation of a femur fracture, it is critical to assess circulation, sensation, and movement (neurovascular status) of the affected extremity. This includes checking capillary refill, pulses, skin color, temperature, sensation, and motor function. Early detection of compartment syndrome, impaired circulation, or nerve injury can prevent permanent damage and guide prompt interventions. B. Maintain placement of an abduction pillow between the client's legs is incorrect. Abduction pillows are typically used after hip replacement surgery to maintain hip alignment, not after femur fixation. Using one unnecessarily may limit mobility and is not standard post-femur fixation care. C. Remove the bandages once a day to assess incisions is incorrect. Incision care depends on surgeon’s orders. Frequent removal of dressings may increase infection risk. Usually, dressings are changed per protocol or when saturated, not daily without specific indication. D. Ambulate the client with partial weight bearing on the affected leg is incorrect immediately post-op. Early ambulation is often restricted until cleared by the surgeon, and weight-bearing status depends on the type of fixation and fracture stability. Premature ambulation could disrupt fixation or cause re-injury.