The elderly client is admitted to the emergency room after a fall with a suspected fracted hip. Which symptom is the client most likely to exhibit?

Cool extremity

Absence of pedal pulses

Misalignment

Hypotension

Answer and Explanation

The Correct Answer is C

A.   This finding can occur with circulatory issues but is not a classic symptom of a hip fracture itself. A cool extremity may indicate vascular compromise, which is less common immediately after a hip fracture and more concerning for a potential complication, such as compartment syndrome.
B.   Similar to cool extremities, absent pedal pulses suggest a significant vascular problem and are not typical for a straightforward hip fracture. While this can indicate serious complications, it is not a common presentation immediately following a hip fracture.
C.   Misalignment or deformity of the leg is a classic symptom of a fractured hip. The affected leg may appear shorter and externally rotated. This misalignment is often one of the first observable signs that healthcare providers look for during the assessment.
D.   Hypotension can occur due to various reasons, including pain, dehydration, or blood loss, but it is not a direct symptom of a fractured hip. While it could be present in some cases, it is not the most characteristic finding associated with hip fractures.

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Correct Answer is D

Explanation

A. While daycare workers can be at risk for various infections, they are not typically considered at high risk for TB unless they are in close contact with TB-positive individuals. Therefore, this option does not present the highest likelihood of TB.
B. This individual is at a moderate risk for TB, especially if they are caring for patients with known TB or are in an environment where TB may be more prevalent. However, nursing homes are more often associated with other infections rather than being primary sources for TB outbreaks.
C. High school students are generally not at high risk for TB unless they have specific exposure or travel history. Without additional risk factors, this group does not exhibit a high likelihood of TB.
D. This option represents the highest likelihood of TB. Homeless individuals are at increased risk for TB due to factors such as crowded living conditions, poor nutrition, and lack of access to healthcare.

A. Kidney disease B. Pain C. Glaucoma D. Anemia

Correct Answer is A

Explanation

A. Kidney disease is one of the most common causes of secondary hypertension. Conditions such as chronic kidney disease or renal artery stenosis can lead to increased blood pressure due to fluid retention or increased renin production.
B. While pain can cause temporary increases in blood pressure due to the body's stress response, it is not an identifiable cause of secondary hypertension. Pain-related hypertension is usually acute and resolves once the pain is managed, rather than being a chronic condition.
C. Glaucoma is an eye condition characterized by increased intraocular pressure, but it is not a cause of hypertension. Although systemic hypertension can affect eye health, glaucoma itself does not cause secondary hypertension. Therefore, this is not an identifiable cause.
D. Anemia does not directly cause secondary hypertension. While severe anemia can sometimes result in compensatory mechanisms that might elevate blood pressure, it is not a recognized or direct cause of secondary hypertension. Thus, it is not a primary concern in this context.

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The elderly client is admitted to the emergency room after a fall with a suspected fracted hip. Which symptom is the client most likely to exhibit?

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