If an individual is dazed and attempting to get up, and their leg appears fractured, the nurse would plan to perform the following actions
Actions to be performed by a nurseEnsure Safety: The nurse's first priority is to ensure the safety of the individual. They would assess the immediate environment for any hazards and take measures to prevent further injury.
Immobilize the Leg: The nurse would immobilize the fractured leg to prevent any further movement or damage. This can be done by using splints or providing support with a padded board or pillows to keep the leg in a stable position.
Assess Vital Signs: The nurse would assess the individual's vital signs, including heart rate, blood pressure, respiratory rate, and oxygen saturation, to monitor their overall condition and identify any signs of distress.
Provide Pain Relief: The nurse would administer appropriate pain relief measures, such as medication or non-pharmacological techniques, to help alleviate the individual's pain and discomfort.
Arrange for Medical Evaluation: The nurse would coordinate with the healthcare team to arrange for a medical evaluation, such as an X-ray or further diagnostic tests, to confirm the fracture and determine the appropriate treatment plan.
Implement Falls Prevention Measures: If the individual appeared dazed and attempted to get up before the fracture was identified, the nurse would implement falls prevention measures to ensure their safety and minimize the risk of further injury.
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