Question

Jolly Rogers, a 72-year-old female client who lives alone in a townhouse, arrives to the medical-surgical unit after falling down seven icy steps in front of her home. The vital signs are T, 97° F; BP, 130/80 mm Hg; HR, 88 beats/minute; RR, 22 breaths/minute. She is 5 feet 4 inches tall and weighs 120 lb. She has a history of osteoporosis and diabetes controlled with diet. The client stated that she has pain in her right arm rated as 6/10, and pain in her right hip rated as 8/10. There is visible bruising and swelling at the right elbow. The right leg appears shorter than the left leg, with external rotation of the leg and inability to move it and bruising and edema at the site. The LPN/LVN needs to perform a complete musculoskeletal system assessment.

What additional history questions are needed? (4 correct responses are required; bullet your responses)

Answer 1

And

1- pelvis x ray for fracture neck of femur -that lead to external rotation and shortening

2-x ray of elbow - to see the elbow joint and supracondyler fracture

3- CT scan of pelvis area

4- blood calcium ,parathyroid,estrogen level