A nurse is caring for a client who had a total hip arthroplasty.

Which of the following actions should the nurse take to prevent hip dislocation?

Place two-bed pillows between the legs when in bed.

Encourage the client to lean forward when attempting to stand.

Remove the wedge device when turning.

Elevate the knees higher than the hips when sitting.

Answer and Explanation

The Correct Answer is A

Place two-bed pillows between the legs when in bed.
To prevent hip dislocation after total hip arthroplasty, the nurse should place two-bed pillows between the client’s legs when in bed.
This helps maintain proper alignment and prevent the hip from dislocating.
Choice B is incorrect because leaning forward when attempting to stand can increase the risk of hip dislocation.
Choice C is incorrect because removing the wedge device when turning can increase the risk of hip dislocation.
Choice D is incorrect because elevating the knees higher than the hips when sitting can increase the risk of hip dislocation.

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Correct Answer is C

Explanation

The statement “These crutches will make it possible to care for my child” indicates that the client is adapting to their role change by finding ways to continue fulfilling their responsibilities despite their injury.
Choice A is incorrect because it indicates that the client is concerned about not being able to fulfill their responsibilities.
Choice B is incorrect because it indicates that the client feels guilty about not being able to fulfill their responsibilities.
Choice D is incorrect because it indicates that the client is relying on someone else to fulfill their responsibilities.

A. Obtain an ECG. B. Calculate the extent of burns using the rule of nines. C. Notify the Rapid Response Team. D. Initiate peripheral IV access.

Correct Answer is C

Explanation

The nurse should plan to notify the Rapid Response Team first.
The client’s blood pressure is elevated, heart rate is high, respiratory rate is high, and oxygen saturation is low.
These are all signs of potential instability and the Rapid Response Team should be notified immediately.
Choice A is incorrect because while obtaining an ECG may be important, it is not the nurse’s first priority in this situation.
Choice B is incorrect because while calculating the extent of burns using the rule of nines may be important, it is not the nurse’s first priority in this situation.
Choice D is incorrect because while initiating peripheral IV access may be important, it is not the nurse’s first priority in this situation.

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A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the nurse take to prevent hip dislocation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. Which of the following client statements indicates that the client is adapting to their role change?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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A nurse is caring for a client who had a total hip arthroplasty.

Which of the following actions should the nurse take to prevent hip dislocation?