A home health nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following interventions should the nurse recommend to promote recovery?
Take baths instead of showers.
Use a walker on the stairs.
Cross legs at the ankles.
Use an elevated toilet seat.
The Correct Answer is D
Rationale:
A. Baths require bending the hip more than 90 degrees, which violates hip precautions and increases the risk of dislocation. Showers are safer, especially with a shower chair or hand-held showerhead, to minimize hip flexion.
B. Using a walker on stairs is unsafe; patients should be taught to use a handrail with a crutch or cane technique, often involving a “up with the good, down with the bad” approach. Walking on stairs with a walker increases fall risk.
C. Crossing legs can adduct the hip, violating hip precautions and increasing the risk of prosthesis dislocation. Patients should keep legs slightly apart and avoid twisting motions.
D. An elevated toilet seat allows the patient to sit and stand with less hip flexion, helping maintain hip precautions and promoting safe mobility during activities of daily living. This intervention supports recovery, reduces dislocation risk, and promotes independence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Vaping introduces nicotine and other chemicals into the body, which can increase heart rate, blood pressure, and inflammation, all of which contribute to cardiovascular risk. Nicotine and certain aerosols in e-cigarettes may damage endothelial cells and accelerate atherosclerosis, increasing the risk for heart disease.
B. Reducing consumption of added sugars is a protective behavior, lowering the risk of obesity, type 2 diabetes, and cardiovascular disease. This behavior decreases, rather than increases, heart disease risk.
C. A BMI of 18.5–24.9 is considered normal weight. Maintaining a healthy BMI is a protective factor for cardiovascular health, so this finding does not indicate increased risk.
D. Consuming fiber, particularly from fruits, vegetables, and whole grains, is protective against heart disease. Fiber helps reduce cholesterol levels, improve blood glucose control, and promote healthy gut microbiota.
Correct Answer is B
Explanation
Rationale:
A. Inactivated poliovirus is incorrect because polio is now extremely rare in most countries due to widespread childhood immunization. Adults are typically vaccinated only if they have never received a full childhood series or are traveling to regions where polio remains endemic. Routine vaccination for older adults is not indicated.
B. Zoster is correct because older adults are at increased risk for herpes zoster (shingles) due to age-related decline in cell-mediated immunity. The CDC recommends the recombinant zoster vaccine (Shingrix) for adults aged 50 years and older, administered in two doses, to prevent shingles and postherpetic neuralgia, which can cause chronic pain and significantly impact quality of life. This vaccine is a key component of healthy aging and preventive care.
C. Rotavirus is incorrect because rotavirus primarily affects infants and young children, causing severe gastroenteritis. Vaccination is not recommended for adults, as most have already developed immunity from prior infection or childhood vaccination.
D. Human papillomavirus (HPV) is incorrect because HPV vaccination is targeted toward preteens, adolescents, and young adults to prevent cervical, anal, and other HPV-related cancers. It has limited benefit for older adults who have likely already been exposed to HPV.
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