Final answer:
To turn a client with a fractured hip, you should roll them toward the unaffected side and consider using an abduction wedge. A fracture of the femoral neck within the hip capsule can lead to avascular necrosis or other complications like non-union and arthritis.
Step-by-step explanation:
If your client has a fractured hip, the best way to turn him would be to roll him toward the unaffected side. This is because turning towards the affected side could cause more pain and potentially worsen the injury. An abduction wedge may also be used between the legs to keep the hip in the correct position and to prevent further injury during movement. It is not recommended to cross the legs and roll toward the unaffected side as this could cause complications or increase the risk of a blood clot.
Regarding the anatomy of the hip joint, a fracture of the femoral neck within the capsule might lead to complications such as avascular necrosis (loss of blood flow to the bone, resulting in bone death), which can occur when the blood supply to the femoral head is compromised. Other complications can include non-union of the fracture, where the bone fails to heal properly, and post-traumatic arthritis, which could develop over time.