A nurse is caring for a client hospitalized for an open reduction of a fractured femur and application of a cast. The most important nursing action for the care of this client is to perform neurovascular checks of the extremities.
The femur is the large bone present in the upper part of the leg. Open reduction and internal fixation (ORIF) is a kind of surgery deployed to fix and heal a broken bone.
In an 'open reduction' the orthopedic surgeon realigns the bone pieces during surgery to bring them back into their proper position.
Internal fixation is used to describe the procedure of physically rejoining the bones. It may involve special screws, plates, rods, wires, etc. that are placed by the surgeon within the bones in order to align them in the right place.
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