Answer:
Explanation:
found on the kitchen floor, experiencing incontinence of urine and stool, while expressing pain
in her hip. Her daughter mentions her medical history includes hypertension, angina, and osteoporosis. M.C. is on a regimen of propranolol (Inderal), a nitroglycerin patch, indapamide (Lozol), and conjugated estrogen
(Premarin) daily. M.C.'s daughter notes that her mother is typically very alert and lives on her own.
Upon examination, you find an elderly woman, weighing around 100 pounds, grasping her right thigh. You observe
that the right leg appears shortened and rotated externally, with significant swelling at the upper thigh
and right hip area. M.C. is only aware of her identity and is disoriented regarding time and place, but she can clearly express
her intense leg pain. Her vital signs are 90/65, 120, 24, 97.5° F (36.4° C); her oxygen saturation is at 89%. She is
severely dehydrated. The initial diagnosis suggests a fracture of the right hip.
Taking into account her medical background and that she hasn’t taken her medications for at least
24 hours, provide an explanation for her current vital signs.
