A client is brought to the emergency department by ambulance after stepping in a hole and falling. During the assessment, the nurse notes that the right leg is shorter than the left leg the right hip is noticeably deformed and acute pain is noted. Imaging does not reveal a fracture. What is the most likely explanation for this client's signs and symptoms?
Right hip dislocation
Right hip contusion
Right hip strain
Right hip osteoarthritis
The Correct Answer is A
A. Right hip dislocation: In a hip dislocation, the head of the femur is forced out of the acetabulum, which is the socket in the pelvis. This can cause a noticeably shorter leg, hip deformity, and acute pain. Imaging might not show a fracture in the case of a dislocation.
B. Right hip contusion: A hip contusion is a bruise on the hip, usually caused by a direct blow or trauma. While it can cause pain and swelling, it typically does not result in a noticeably shorter leg or hip deformity.
C. Right hip strain: Hip strain refers to damage to the muscles or tendons around the hip joint due to overuse or sudden twisting movements. While it can cause pain, it does not typically lead to a noticeable leg shortening or hip deformity.
D. Right hip osteoarthritis: Osteoarthritis is a degenerative joint disease that can affect the hip joint. It leads to joint pain and stiffness but does not usually cause a noticeable leg shortening or acute deformity unless there are severe complications, which are not mentioned in the scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Sedentary lifestyle - Lack of weight-bearing exercise and physical activity is a significant risk factor for the development of osteoporosis. Weight-bearing exercises help maintain bone density and strength. Sedentary individuals are more prone to osteoporosis.
B. Long-term use of diuretics - Long-term use of certain medications, such as corticosteroids, can increase the risk of osteoporosis. Diuretics are not typically associated with osteoporosis risk, although some medications can affect bone health.
C. Prolonged stress - Chronic stress can have negative effects on overall health, but it is not a direct risk factor for osteoporosis.
D. Obesity - Obesity is generally considered a protective factor against osteoporosis. Individuals with higher body weight tend to have stronger bones due to the mechanical load placed on the bones, reducing the risk of osteoporosis.
Correct Answer is A
Explanation
A. Stretching exercises:
Stretching exercises involve gently elongating muscles and tendons, promoting flexibility and range of motion. For individuals with osteoporosis, stretching exercises can improve balance and reduce the risk of falls, which is crucial as osteoporosis weakens bones and makes individuals more prone to fractures.
B. Riding a bicycle:
Bicycling is a low-impact cardiovascular exercise that is easy on the joints. It can help improve cardiovascular health, but it might not specifically address the balance and flexibility issues often associated with osteoporosis. However, it's a good option for overall fitness and joint health.
C. Walking briskly:
Brisk walking is an excellent low-impact aerobic exercise. It improves cardiovascular health, strengthens muscles, and aids in weight management. Walking can be adapted to various fitness levels, making it a suitable exercise for many older adults. While it doesn't specifically focus on flexibility, it promotes overall health and well-being.
D. High-impact aerobics:
High-impact aerobics involve activities like jumping, running, or intense dancing. These exercises can stress the bones and joints, potentially leading to injuries, especially for individuals with osteoporosis. High-impact exercises are generally discouraged for people with osteoporosis due to the increased risk of fractures.
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