Final answer:
The nurse places pillows around the fractured hip to prevent neurovascular compromise and reduce the risk of deep vein thrombosis (DVT). DVT can occur due to immobility after a hip fracture, especially in elderly individuals with osteoporosis. Proper positioning aids in maintaining blood flow and reducing the risk of other complications like pulmonary embolism. C) Neurovascular compromise
Step-by-step explanation:
The nurse is caring for a client with a fractured hip and is placing pillows around the injured area to prevent neurovascular compromise. Neurovascular compromise refers to the injury or condition that impairs blood flow and nerve function in a certain area. It is important for nurses to provide proper positioning and support to the affected limb to aid in proper blood flow and reduce the risk of complications such as deep vein thrombosis (DVT), which is the formation of a blood clot in a deep vein, usually in the leg. Proper positioning with pillows helps to maintain alignment, reduce pressure, and prevent the leg from rotating or sustaining additional injury, which can all contribute to a reduced risk of DVT.
Immobility due to a hip fracture can lead to serious health complications, including DVT, which occurs when blood flow is reduced, and blood clots form, possibly leading to a pulmonary embolism if the clot dislodges and travels to the lungs. A fractured hip is particularly concerning in elderly individuals, who may already have weakened bones due to osteoporosis and could be at an increased risk for DVT due to prolonged immobility. Considering that hip fractures typically require surgery and prolonged bed rest, prevention of DVT is a crucial aspect of post-operative care, with interventions such as the use of pillows to ensure proper leg positioning, being part of the strategies to minimize this risk.