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Neuromuscular: Awake and alert, orientated ×4. Speech is clear. Pupils are round, equal in size, and reactive to light. Client is unable to move her right leg due to a right hip fracture. Both upper extremities have moderate strength, and lower left extremity has moderate strength. Unable to assess balance and gait, client is on bed rest for fractured hip. Integument: Skin color is normal for ethnicity, warm, dry, and intact with no signs of skin breakdown. Skin turgor is with tenting less than 2 s. Braden Risk Assessment completed; client is at a moderate risk for skin breakdown. Large ecchymotic area on the right hip is 6 in. by 5 in. with swelling noted underneath.
Questions
1. What precondition does Ms. Ryan have that may have contributed to her hip fracture? How prevalent is this condition in the population, and why is it significant?
2. What precondition does Ms. Ryan have that would suggest she has an alteration in mobility? How prevalent is this condition in the population, and why is it significant?
3. Compare and contrast the pathophysiology of osteoporosis and arthritis.
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