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1. Question
A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for:
Correct
Answer C is correct.
Rationale: The client with a fractured femur will be placed in Buck’s traction to realign the leg and to decrease spasms and pain. The Trendelenburg position is the wrong position for this client, so answer A is incorrect. Ice might be ordered after repair, but not for the entire extremity, so answer B is incorrect. An abduction pillow is ordered after a total hip replacement, not for a fractured femur; therefore, answer D is incorrect.
Incorrect
Answer C is correct.
Rationale: The client with a fractured femur will be placed in Buck’s traction to realign the leg and to decrease spasms and pain. The Trendelenburg position is the wrong position for this client, so answer A is incorrect. Ice might be ordered after repair, but not for the entire extremity, so answer B is incorrect. An abduction pillow is ordered after a total hip replacement, not for a fractured femur; therefore, answer D is incorrect.
Femoral fractures
Most femoral fractures are seen in young adults who have been involved in a motor vehicle crash or who have fallen from a high place. Frequently, these patients have associated multiple traumas.
The patient presents with an enlarged, deformed, painful thigh and cannot move the hip or the knee. The fracture may be transverse, oblique, spiral, or comminuted. Frequently, the patient develops develops shock, because the loss of 2 to 3 units of blood into the tissues is common with these fractures. An expanding diameter of the thigh may indicate continued bleeding.
