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학습 자료 둘러보기 →The highest priority for a patient with an unstabilized hip fracture is strict bed rest and immobilization of the affected leg. Movement can cause fracture displacement, leading to damage of the femoral neurovascular bundle (nerve, artery, vein) and severe hemorrhage.
Maintain the leg in neutral alignment using pillows or temporary traction as ordered. Avoid any active or passive movement of the extremity. This directly protects the limb's physical integrity and prevents an acute preoperative crisis.
While immobilization is the immediate priority, it creates a high risk for deep vein thrombosis (DVT). Anticipate orders for mechanical prophylaxis or pharmacologic anticoagulation if surgery is delayed, balancing the risk of bleeding from the injury.
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