Which of the following findings indicates potential underlying issues after the resident's fall?

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Prepare for the HESI Management of a Skilled Care Unit Test. Study with multiple choice questions and flashcards. Each question includes hints and detailed explanations to enhance your understanding. Achieve success on your exam!

The identification of potential underlying issues after a resident's fall often requires a comprehensive assessment of multiple factors. Each of the findings listed contributes to the understanding of the situation.

When the right leg is shortened and outwardly rotated, it suggests a potential hip fracture or dislocation. This orthopedic issue can lead to severe complications if not addressed promptly and highlights the need for immediate medical evaluation.

Abrasions on the right side of the head may indicate a possible head injury, which can have serious neurological implications. Head trauma can lead to bleeding or swelling in the brain, so it is essential to monitor the resident closely for symptoms of a concussion or intracranial pressure changes.

Confusion about time and place may signal acute confusion or delirium, which are critical signs following a fall. Such cognitive changes can indicate underlying issues such as a concussion, brain injury, or exacerbation of pre-existing cognitive impairments.

Considering all these findings together reinforces the necessity for thorough evaluation and intervention. Each of these signs represents a risk for complications that require a multidisciplinary approach to ensure the resident's safety and well-being. Thus, acknowledging all of the findings as indicative of potential underlying issues is crucial for appropriate management after a fall incident.

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