A client had a right knee replaced 4 days ago. The client returns with an elevated temperature for the past 24 hours. Which assessment would the nurse prioritize?

Urine characteristics

Homan's sign

Lung sounds

Frequency of diarrhea episodes

Answer and Explanation

The Correct Answer is C

A.   While monitoring urine characteristics is important for overall assessment, it may not be the priority in this situation.
B.   Homan's sign is used to assess for deep vein thrombosis and may not be directly related to the client's current symptoms.
C.   Elevated temperature after knee replacement surgery could indicate a potential infection, including pneumonia, so assessing lung sounds for signs of infection is a priority.

D.   Diarrhea may be indicative of gastrointestinal issues but is less likely to be directly related to the client's current symptoms after knee replacement surgery.

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Correct Answer is D

Explanation

A. While standard precautions should be followed, the use of sterile gloves for routine care related to pertussis is not necessary.
B. Placing a surgical mask on the client during transportation may help prevent the spread of respiratory droplets but is not a comprehensive infection control measure.
C. Wearing a gown for all client cares is unnecessary and may not be practical.
D. Wearing a mask when providing care within 10 feet of the client helps reduce the risk of droplet transmission of pertussis.

A. "We will know the results within 30 minutes." B. "We will have results in 24 hours." C. "It usually takes 7-10 days before the results are available." D. "It usually takes 48-72 hours to obtain the growth and sensitivity results."

Correct Answer is D

Explanation

A. Urine culture and sensitivity tests typically take longer than 30 minutes to yield results.
B. While some preliminary results may be available within 24 hours, the full culture and sensitivity testing usually take longer.
C. Waiting 7-10 days for results would be excessive for a urine culture and sensitivity test.
D. Typically, it takes 48-72 hours to obtain the growth and sensitivity results for a urine culture, allowing time for bacterial growth and sensitivity testing.

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A client had a right knee replaced 4 days ago. The client returns with an elevated temperature for the past 24 hours. Which assessment would the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which of the following interventions should the nurse include?

Correct Answer is D

Explanation

The health care provider ordered a urine specimen for culture and sensitivity. After the nurse collects the specimen, the client asks, "When will I know the results of the test?" Which of the following is the best response?

Correct Answer is D

Explanation

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