A nurse is assisting with the care of a client.

Exhibits

The nurse is caring for a client who has a hip and pelvis fracture. Select the 4 findings on Day 2 that require immediate follow-up.

A. Rhabdomyolysis is caused by a viral infection: While viral infections can sometimes contribute, rhabdomyolysis is not primarily caused by them. It is usually due to muscle injury from trauma, exercise, drugs, or other factors.

B. Rhabdomyolysis is a chronic condition that cannot be treated: Rhabdomyolysis is an acute condition that can be treated, primarily by managing the complications and addressing the underlying cause.

C. Rhabdomyolysis is a condition characterized by the breakdown of muscle tissue: This is the correct definition. Rhabdomyolysis involves the breakdown of muscle tissue, releasing myoglobin into the bloodstream, which can lead to kidney damage.

D. Rhabdomyolysis is a respiratory disorder that affects lung function: Rhabdomyolysis is not a respiratory disorder. It primarily affects the muscles and kidneys.

A. Provide an elevated toilet seat: This is important for preventing hip dislocation but is not the immediate priority.
B. Assist out of bed immediately following surgery: Mobilizing the patient is important to prevent complications such as deep vein thrombosis (DVT) and pneumonia, but this should be done safely and as prescribed.
C. Medicate with pain medications: Pain management is crucial for postoperative recovery but is part of comprehensive care rather than the single priority.
D. Maintain weight bearing as prescribed: Following weight-bearing restrictions is critical to ensure proper healing and prevent complications such as dislocation or prosthetic failure. This is the immediate priority in terms of preventing harm and ensuring recovery.