1. What does N.E.’s diagnosis of a closed, complete, oblique fracture of the left femur mean?
2. What is the purpose of applying Buck’s traction and what interventions do you employ to maintain the traction system?
3. What specific assessments need to be performed for N.E.?
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 reduced to 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, what information would you provide the surgeon when you call?

Sample Solution

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