A nurse is caring for a client who had a left hip arthroplasty. Which of the following interventions should the nurse use to prevent dislocation?

Encourage use of elastic stockings.

Monitor for shortening of the affected leg.

Avoid flexing the hips more than 60°.

Maintain foam wedge between legs.

Answer and Explanation

The Correct Answer is D

A. Encouraging the use of elastic stockings is important for preventing deep vein thrombosis (DVT) postoperatively but does not directly prevent hip dislocation.
B. Monitoring for shortening of the affected leg is important to assess for complications such as dislocation or nerve injury, but it is not a preventive measure.
C. Avoiding flexion of the hips more than 60° is important to prevent dislocation, but the recommended limit is usually 90°, not 60°. It is crucial to keep the hip in an appropriate position to avoid excessive movement.
D. Maintaining a foam wedge between the legs is the most effective intervention to prevent hip dislocation. The wedge keeps the hips in proper alignment and prevents excessive internal rotation or adduction, which are common causes of dislocation after hip arthroplasty.

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Correct Answer is ["A","B","D","E"]

Explanation

A. Moon face is a classic manifestation of Cushing's syndrome. It is caused by fat redistribution and is often seen as a round, puffy face.
B. Purple striations, or stretch marks, are common in Cushing's syndrome due to the skin's thinning and the increased collagen breakdown from elevated cortisol levels.
C. Tremors are not typically associated with Cushing's syndrome. The syndrome is more often characterized by physical changes such as weight gain, muscle weakness, and fatigue, rather than neurological symptoms like tremors.
D. Hypertension is a common manifestation of Cushing's syndrome. Elevated cortisol levels can lead to increased blood pressure due to fluid retention and vasoconstriction.
E. Buffalo hump, the accumulation of fat on the upper back and neck, is another characteristic sign of Cushing's syndrome. This is caused by fat redistribution, a hallmark of the condition.

A. Apical pulse rate is different than the radial pulse rate B. Drop in systolic BP by 20 mm Hg when changing positions C. Increase in heart rate by 20% when moving from sitting to standing D. Decrease in systolic pressure by more than 10 mm Hg during inspiration

Correct Answer is D

Explanation

A. A difference between the apical and radial pulse rates, known as a pulse deficit, is typically associated with arrhythmias such as atrial fibrillation, not paradoxical blood pressure.
B. A drop in systolic BP by 20 mm Hg when changing positions is indicative of orthostatic hypotension, not paradoxical blood pressure. This occurs when there is a significant drop in blood pressure upon standing.
C. An increase in heart rate by 20% when moving from sitting to standing is also related to orthostatic hypotension, where the body compensates for a drop in blood pressure by increasing the heart rate.
D. A decrease in systolic pressure by more than 10 mm Hg during inspiration is a classic sign of paradoxical blood pressure, which can occur in conditions such as constrictive pericarditis. This occurs because the pressure within the pericardium prevents the heart from expanding fully during inspiration, leading to a drop in systolic blood pressure.

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A nurse is caring for a client who had a left hip arthroplasty. Which of the following interventions should the nurse use to prevent dislocation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is assessing for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

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