Question

Mrs. Lu, an 83 year old patient, has been admitted to the hospital for a fractured femur as a result of a fall at home. The patient has been on bedrest and is very weak. She states, "I got dizzy when I tried to stand up to go to the bathroom and I fell down and was really scared. I thought I was going to die". The patient also presents with dehydration a fever of 100.2 and respiration's of 30.

• Identify 2 patient goals with expected outcomes for Mrs. Lu while she is in the hospital
• Identify Objective and Subjective Data in the above scenario
• Identify and describe 4 systemic effects associated with Mrs. Lu's immobility.
• The client will be discharged with a walker. Describe the education the nurse provide for the client for proper use and ambulation, including walking and going up and down stairs.

Answer 1

1) Patient will maintain normal hydration level by fluid administration.

Will maintain normal body temperature and infection prevention.

2)objective data: weakness

Subjective data: dehydration,fever, tachypnea

3))Systemic effect associated with immobility: skin breakdown and pressure ulcer, muscular weakness,urinary retension,urinary incontinence

4)Use of walker: To stand up:push up from the armrest of the chair or bed to a standing position.

Place a firm grip for both side of the walker with hands

Move walker forward a short distance

Step forward with injured leg put weight on the palms of your hands,and take first step with stronger leg.

To going up in stair: place. Walker on the step in front of person,step up with strong leg and place all weight on walker and bring weaker leg upbto the step

To go down to the stairs:place weaker leg first then all weight on walker and then stronger leg.

Education:Wear shoes or slippers while walking should not use shoes with heels.,keep floors dry and clean, should not try to use until trained for waking by physiotherapist.always check the walker before walking.