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Hip Fracture

Important facts about hip fractures&nbsp;can be described by the tale of a grandma who slipped on a throw rug and fractured her hip after a muscle-man spaceship busted through her bathroom and abducted her. Hip fractures often present with external rotation of the leg, shown by grandma&rsquo;s leg rotating externally away from her body. They may also present with muscle spasms, the muscle-man spaceship that invaded her home, and a shortened leg on the affected side, shown by her shorter leg. Patients will also complain of tenderness and pain, shown by the pain-bolts. Interventions for hip fractures include&nbsp;Buck&rsquo;s traction, shown by the buck tractor. This helps to relieve painful muscle spasms and is often used for up to 24 to 48 hours. Analgesics, the A-nail-Jay-Z, can also be used to treat pain. Depending on the location and severity of the fracture, surgery may be needed, shown by the surgeon with scalpel in hand. In the vessel behind him, there&rsquo;s a necrosis-crow, representing avascular necrosis,&nbsp;which occurs as a result of decreased blood supply due to a lack of collateral circulation. So let&rsquo;s review hip fractures. Assessment findings include external rotation of the affected side, muscle spasms, a shortened leg, and pain. Interventions include Buck&rsquo;s traction, analgesics, and surgery. Be aware of the possibility of avascular necrosis.&nbsp;

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Hip Fractured

Hip Fractures

Fractures Nursing Care

Assessment

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Rotating Externally away from the body

External Rotation

Which of the following is most likely associated with hip fracture?

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Muscle-man Spaceship

Muscle Spasms

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Shorter Leg

Shortened Leg

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Pain-bolts

Pain

Interventions

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Buck Tractor

Buck's Traction

Which of the following interventions is used to immobilize and maintain alignment of the lower extremities in a patient with hip fracture?

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A-nail-Jay-Z

Analgesics

Which of the following interventions is most likely associated with hip fracture?

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Surgeon with scalpel

Surgery

Considerations

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In-vessel Necrosis-crow

Avascular Necrosis

Which of the following complications is most likely associated with hip fracture?

Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition

Family Nurse Practitioner Certification Intensive Review 2nd Edition, Leik

Medical-Surgical Nursing, 10th Ed, Lewis, Dirksen, Heitkemper, & Bucher

Medical-Surgical Nursing, 9th Ed, Lewis, Dirksen, Heitkemper, & Bucher

PANCE Prep Pearls: 1st Ed, 2014

It’s important for all elderly Grandmothers to get rid of their old throw rugs, because you never know when an alien will bust through your bathroom over that rug, and fracture your hip. It’s not pretty. When he grabs you, he may just twist that leg outward, letting it rotate externally away from the body. Ouch. That’s got to hurt because he’s a big alien, a muscle-man in a spaceship, if you know what I mean. He turned that leg so hard it’s shorter than the other one, and he’s using pain-bolts as laser rays to beam you up in that ship. Oh no, you’re in it now, Grandma. How are you going to get out of that spaceship? Looks like they’re preparing you for some kind of experiment by the way that Buck tractor is lifting that leg in place. In the ship, you see other victims of alien abduction, like A-nail Jay-Z who was nailed to the wall like an imprisoned captor. Who knows how long he’s been there, or if it is even the real Jay-Z? But you have bigger concerns now, Grandma because that evil space surgeon has his eyes on you and his hand on that scalpel. And you don’t want to end up like the necrosis-crow stuck in that vessel like a sleeper pod. All this, because you didn’t throw out that throw rug and fractured your hip, Grandma.

Picmonic uses mnemonics to help you develop NCLEX mastery so you can pass the NCLEX exam the first time. Free question for 08/2021/23

Picmonic NCLEX Question of the Day 08/2021/23

Picmonic NCLEX® Question of the Day

A 79-year old female was in a hurry to get her "hair did," but she slipped on ice and took a hard fall as she was leaving. She fractured her left hip. What assessment findings would the nurse expect when this patient presented to the emergency department? Select all that apply:

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