Question

The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the client for: A. Hypovolemia B. Pain C. Nutritional status D. Immobilizer

Short answer

Answer: Hypovolemia

Step-by-step solution

Understand open reduction internal fixation of a fractured hip

Open reduction internal fixation (ORIF) is a surgical procedure to repair a broken hip. The surgeon aligns the fractured bones and uses metal hardware, such as plates and screws, to keep them in position while they heal.

Identify potential complications

Some possible complications immediately following ORIF surgery include blood loss, infection, nerve damage, and issues related to anesthesia. It's crucial to understand these potential risks to prioritize the most critical assessments for the client.

Evaluate the options

Now let's evaluate the four options: A. Hypovolemia: After surgery, the client may experience significant blood loss, leading to hypovolemia (low blood volume). Hypovolemia can lead to shock, organ failure, and even death, making it a crucial assessment postoperatively. B. Pain: Although pain will be a concern for the client after surgery, it is less critical than hypovolemia in terms of potential complications. Pain management is essential but is not the highest priority assessment. C. Nutritional status: Nutritional status is significant for recovery, but it is not the most crucial assessment immediately after surgery. The primary concern in the immediate postoperative period is the client's stability and potential complications. D. Immobilizer: The immobilizer helps prevent the hip from moving and supports the surgical repair. While assessing proper immobilizer function is essential, it is not as critical as other potential complications immediately following surgery.

Choose the correct answer

Based on the potential complications of ORIF surgery and the importance of each option, the priority assessment for the nurse to give immediately following surgery is: A. Hypovolemia because it can lead to severe complications such as shock, organ failure, and even death if not addressed promptly.