A nurse caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a pain scale of 0 to 10. Which of the following Interventions should the nurse take?

Gently massage the area around the client's incision.

Apply an ice pack to the client's knee.

Perform range of motion exercises to the client's knee.

Place pillows under the client's knee.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Gently massaging the area around the client's incision might be contraindicated after knee surgery due to the potential for increased pain and disruption of the surgical site.
Choice B rationale: Applying an ice pack is appropriate for managing postoperative pain and reducing inflammation after knee surgery.
Choice C rationale: Performing range of motion exercises might be appropriate but should be done cautiously and within the limits advised by the surgical team.
Choice D rationale: Placing pillows under the client's knee may provide comfort but might not directly address the reported pain level.

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Correct Answer is B

Explanation

Choice A rationale: mayonnaise can contribute to higher sodium intake.
Choice B rationale: A frozen fruit juice bar for dessert is a low-sodium option, which aligns with the client's need to limit sodium intake to 2 g per day.
Choice C rationale: vegetable juice can contribute to higher sodium intake. Choice D rationale: seasonings like garlic and onion salts can contribute to higher sodium intake.

A. Calcium level 11.5 mg/dl B. Output 200 mL more than intake over the past 12 hr C. Serum albumin level 3.9 g/dl. D. Fasting blood glucose level 105 mg/d

Correct Answer is A

Explanation

Choice A rationale: A calcium level of 11.5 mg/dl is elevated and should be reported to the provider, as it may indicate hypercalcemia.
Choice B rationale: Output 200 mL more than intake over the past 12 hr may require monitoring but does not necessitate immediate notification.
Choice C rationale: A serum albumin level of 3.9 g/dl is within the normal range and does not require immediate notification.
Choice D rationale: A fasting blood glucose level of 105 mg/dl is within the normal range and does not require immediate notification.

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A nurse caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a pain scale of 0 to 10. Which of the following Interventions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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