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Chapter 3: Problem 227

Susan Hammer, age 75, is admitted to the orthopedic unit for fractured hip repair. Because the stress and immobility associated with this injury, Ms. Granger is at increased risk for developing which metabolic disorder? 1\. negative nitrogen balance 2\. hyperlipidemia 3\. hypoglycemia 4\. anabolism

Short Answer

Expert verified
Susan Hammer is at increased risk for developing a negative nitrogen balance due to stress and immobility.

Step by step solution

01

Understand the Situation

Susan Hammer has a fractured hip that requires repair, leading to stress and immobility. We need to assess how these conditions might affect her metabolic processes.
02

Analyze the Potential Disorders

Consider what each of the listed disorders entails: 1. Negative nitrogen balance occurs when the body loses more nitrogen (from protein) than it takes in, often due to immobility or stress increasing protein breakdown. 2. Hyperlipidemia is an elevated level of lipids in the blood, often influenced by diet and metabolic health. 3. Hypoglycemia is abnormally low blood sugar, usually linked to diet or insulin production. 4. Anabolism is the process of building up body tissues and energy stores, often considered positive rather than a disorder.
03

Identify How Immobility and Stress Affect Metabolism

Stress and immobility can lead to increased protein breakdown as the body uses proteins for energy and repair, leading to a cumulative protein loss, which can cause a negative nitrogen balance. This is often seen in patients confined to bed rest for a prolonged period.
04

Connect the Information

Given that stress and immobility can increase the risk of muscle wasting and protein loss, the most likely metabolic disorder for Susan Hammer would be negative nitrogen balance.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Orthopedic Nursing
Orthopedic nursing focuses on the care of patients with musculoskeletal disorders. In the case of patients like Susan Hammer, who require fractured hip repair, orthopedic nurses play a crucial role in the optimal delivery of care.

These nurses are responsible for:
  • Assessment and monitoring of the patient's condition, including vital signs and pain levels.
  • Providing postoperative care, managing wound dressings, and administering medications.
  • Facilitating physical therapy sessions to support recovery and mobility.
  • Educating patients and their families about the injury and recovery process to ensure compliance and comfort.
Orthopedic nurses must understand the metabolic changes occurring due to immobility and stress, such as negative nitrogen balance.

This understanding assists them in managing complications that may arise during recovery.
Elderly Patient Care
Caring for elderly patients like Susan Hammer requires special attention. As people age, they become more susceptible to fractures and other health issues that require specialized care approaches.

A key aspect of elderly care is recognizing the physiological changes that occur with age, such as:
  • Decreased bone density, making fractures more likely.
  • Slower healing processes, requiring extended recovery times.
  • Potential for increased sensitivity to medications.
Due to these factors, healthcare providers must employ strategies that address both the physical and emotional needs of elderly patients. This ensures a more thorough and holistic recovery.

Understanding how stress and immobility impact elderly patients' metabolism is vital. It helps caregivers anticipate complications like negative nitrogen balance, which can delay healing.
Negative Nitrogen Balance
Negative nitrogen balance is a concern for patients like those in orthopedic care. It is a metabolic state where the body excretes more nitrogen than it takes in, often due to increased protein breakdown.

This condition can occur in:
  • Patients experiencing stress and immobility from injuries like a fractured hip.
  • Individuals with inadequate protein intake or heightened metabolic demands.
  • Those with prolonged illnesses or recovery phases.
Negative nitrogen balance is significant as it can lead to muscle wasting, weakened immune function, and poor healing.

Healthcare providers focus on managing this by ensuring adequate dietary protein intake and monitoring the patient鈥檚 nutritional status to support healing and recovery.

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