• Home
  • Blog
  • South University West Palm Beach Fractured Femur Discussion Questions

South University West Palm Beach Fractured Femur Discussion Questions


Answer the following discussion questions based on the Patient Profile.

Patient Profile

N.E. is a 32-year-old male who sustained a closed, complete, oblique fracture of the left femur in a single-vehicle motor vehicle accident. He is being admitted to the orthopedic floor from the ED and is scheduled to have surgery tomorrow afternoon. He states he had asthma as a child and denies any other health problems.

Subjective Data
• Rates pain in the left leg as 4 on a 0 to 10 pain scale after receiving 4 mg morphine IV in the ED 30 minutes prior to arrival on the orthopedic unit
• States his parents and girlfriend saw him in the ED and have gone home for the night and will come back tomorrow before his surgery

Objective Data
• Temperature 98.9° F, pulse 88, respirations 18, blood pressure 132/70
• Alert and oriented x 3
• Abrasion to the forehead and multiple abrasions to arms and legs
• Left leg to 10 lbs. of Buck’s traction
• Bilateral feet/toes warm and pink with movement and sensation equal and within normal limits
• Dorsalis pedis and posterior tibial pulses palpable at 3+

Interprofessional Care
Admitting orders
• Bedrest
• 10 lb Buck’s traction to left lower extremity
• IV Lactated Ringer’s @ 125 mL/hour
• Morphine sulfate 2 mg IV every 2 hours PRN for pain
• Cefazolin 1 mg IV on call to OR

Discussion Questions

1. What does N.E.’s diagnosis of a closed, complete, oblique fracture of the left femur mean?
2. What is the primary purpose of applying Buck’s traction? What interventions do you employ to maintain the traction system?
3. What specific assessments do you need to be perform?
4. What potential complications is N.E. at risk for due to his reduced mobility? Describe interventions to include in his plan of care to prevent each complication.
Case Study Progress
Two hours after admission, N.E. requests pain medication for pain of a 5 in his left upper leg and you administer 2 mg IV morphine. Fifteen minutes later, he states that his pain level is now a 2. Two hours later, N.E. states he has pain in his lower left leg and rates it a 10. You administer another 2 mg morphine IV and reassess his pain 15 minutes later. He states that his pain is unchanged and is still a 10 in the left lower leg.

5. What additional assessments do you need to make at this time?
6. N.E. states that he has some numbness and tingling in his left foot. What do you suspect and what should you do?
7. Using SBAR, outline the information you would provide the surgeon when you call.

About the Author

Follow me

{"email":"Email address invalid","url":"Website address invalid","required":"Required field missing"}