The nurse is caring for an elderly client with osteoporosis who has fractured her mid-shaft clavicle. Which nursing intervention would be included on the plan of care?

  1. immobilize the affected shoulder with a sling
  2. encourage weight-bearing exercise
  3. increase fluids to 1,500 cc/day
  4. prepare for surgical repair
Number 1 is correct.
Rationale: A mid-shaft clavicle fracture needs to be immobilized to prevent further damage to the joint. Weight-bearing exercise is associated with a fracture in the lower extremities. An intake of 1,900 cc/day is the recommended amount for a healthy individual, making 1,500 cc/day suboptimal. Surgical repair for a fractured mid-shaft fracture is typically not required.