Final answer:
The primary nursing consideration for a patient with a current hip fracture being treated with raloxifene is to prevent immobilization-related complications, including blood clots, by monitoring for signs of deep vein thrombosis, pulmonary embolism, pneumonia, and other potential issues.
Step-by-step explanation:
The priority nursing consideration for a patient with a hip fracture being treated with raloxifene is the prevention of complications associated with immobilization. Raloxifene is a selective estrogen receptor modulator (SERM) used in the treatment of osteoporosis. While it can help improve bone density and reduce the likelihood of fractures, its use may increase the risk of blood clots (venous thromboembolism).Given the patient's hip fracture and consequent immobility, the nurse should monitor for signs of deep vein thrombosis (DVT), pulmonary embolism, and other complications like pneumonia, pressure sores, and urinary tract infections. Preventative measures such as the use of anticoagulants, respiratory exercises, repositioning, and optimizing hydration and nutrition are essential to manage these risks and support the patient's recovery.Additionally, safety measures to minimize the risk of further falls and fractures should be reinforced, and the patient should be regularly assessed for pain, functional ability, and overall well-being during their treatment and rehabilitation process.