What is a common complication to monitor in the elderly client post hip surgery?

• A. Deep vein thrombosis
• B. Dehydration
• C. Hypoglycemia
• D. Urinary retention

Answer: (A)

Deep vein thrombosis (DVT) is a common complication that healthcare providers pay close attention to in elderly clients who have undergone hip surgery. After such a procedure, patients often experience reduced mobility due to pain or limited weight-bearing on the affected leg. This immobility can contribute to blood pooling in the veins of the lower extremities, increasing the risk of thrombus formation.

Elderly individuals are particularly susceptible to DVT due to a combination of factors, including age-related changes in vascular health and post-surgical immobilization. Additionally, they may have comorbid conditions or take medications that further increase their risk of clot formation.

Monitoring for signs of DVT, such as swelling, redness, and tenderness in the leg, is critical in the post-operative setting, as timely identification and intervention can prevent serious complications, such as pulmonary embolism. While dehydration, hypoglycemia, and urinary retention are important considerations in elderly patients, DVT remains a primary concern specifically related to the effects of surgery and immobility.