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Which assessment of a patient who is 1 day post surgery after a hip fracture requires immediate nursing intervention?

a. Pain level of 3 out of 10
b. Swelling around the surgical site
c. Disorientation and confusion
d. Mild discomfort during movement

1 Answer

3 votes

Final answer:

Among the assessments listed, disorientation and confusion require immediate nursing intervention as they can be signs of serious complications such as delirium or neurological issues. Other symptoms such as mild pain, swelling, and discomfort are common and tend to be less urgent post-operative concerns.

Step-by-step explanation:

Upon assessing a patient who is one day post-surgery from a hip fracture, the nurse must prioritize care based on the immediacy and potential severity of symptoms presented by the patient. Although pain, swelling, and discomfort are common after surgery, disorientation and confusion in postoperative patients can be indicative of immediate and serious complications, such as delirium or neurological issues, and therefore requires urgent nursing intervention. This confusion might be due to factors including postoperative delirium, medication effects, or possible cerebral events such as a stroke. It is crucial for the healthcare team to address and evaluate sudden cognitive changes promptly to prevent further complications.

Analyzing the options given:





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