Pregunta
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Question 3 of 35
Older adults with hip fractures have a higher morbidity and mortality rate than younger groups; the likelihood of return to the pre-
fracture level of functioning regardless of the previous level of function is:
a. Greater than
b. Greater than
c. Less than

Ask by Hart Boone. in the United States
Mar 28,2025

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c. Less than

Solución

The question asks about the likelihood of older adults with hip fractures returning to their pre-fracture level of functioning. We need to evaluate the options based on common medical knowledge regarding hip fractures in older adults.
Research indicates that older adults often face significant challenges in regaining their previous level of function after a hip fracture. Studies typically show that a substantial percentage of these individuals do not return to their pre-fracture functional status.
Based on medical literature, the likelihood of returning to pre-fracture functioning is generally considered to be less than 25%. Therefore, the correct answer is:

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The Deep Dive

Hip fractures are a serious concern for older adults, often leading to significant changes in quality of life. Studies indicate that less than 25% of older individuals return to their pre-fracture levels of functioning, highlighting the impact of these injuries on mobility and independence. This sobering statistic emphasizes the importance of prevention and supportive care for older populations.
To mitigate the risks associated with hip fractures, it’s crucial to focus on fall prevention strategies. Common mistakes include neglecting strength and balance training or failing to evaluate home environments for hazards. Encouraging regular physical activity and ensuring adequate nutrition, especially calcium and vitamin D intake, can greatly help in improving bone health and reducing fracture risks.

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Maintaining a dry environment Client scenario: A 61-year-old client with a history of COPD presents to the ED with a 2-day history of increased SOB, cough, and increased sputum production. At baseline, the client has a mild cough with scant sputum production. Denies fever, hemoptysis, and night sweats. In the ED, the client is unable to walk due to SOB, speaks in 1-word sentences, and is utilizing accessory muscles for breathing. PMH: - COPD ×10 years - 40-year pack history - Hip fracture - COPD exacerbations 2x/y yar Meds: - Albuterol QID PRN - Theophylline BID - Ipratropium inhaler - HCTZ daily Focused Exam: Accessory muscle use noted, barrel-chested, bilaterally decreased breath sounds w/ expiratory wheezing, cyanosis to nail beds (without clubbing noted). Skin is cool and clammy, diaphoretic. VS: T 37.0C, HR 133, BP 165/95, RR 34, SaO2 82% on RA ABG: pH7.12,PaCO254mmHg,PaO260mmHg,HCO330mEq/L PFT:FEV1 35\% expected, VC 50\% expected 14 Multiple Choice 1 point Given the client's history and presentation, which of the following conditions do you suspect? COPD exacerbation Pulmonary embolus Asthma attack Pneumothorax 15 Multiple Choice 1 point Select the answer choice that should go in the blanks: In COPD, destruction of the alveoli causes loss preventing complete membrane; inhalation surfactant; exhalation exhalation; inhalation 16 Multiple Answer 1 point Which disorders make up chronic obstructive pulmonary disorder (COPD)? Select all that apply. Emphysema Chronic bronchitis Asthma
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