A nurse is caring for a client who had total hip arthroplasty 2 days ago. Which of the following actions should the nurse take
Instruct the client to bend at the waist to put on slippers
Keep the client's heels elevated while in bed
Massage the clients affected leg three times daily
Maintain slight adduction of the client's affected hip
None
None
The Correct Answer is B
A. Instructing the client to bend at the waist is incorrect because hip flexion beyond 90 degrees is contraindicated after total hip arthroplasty due to risk of dislocation.
B. Keeping the client’s heels elevated while in bed is correct. This helps prevent pressure ulcers, which are a common postoperative complication due to decreased mobility.
C. Massaging the affected leg is contraindicated because it can dislodge a thrombus and lead to complications such as a pulmonary embolism.
D. Maintaining adduction of the affected hip is incorrect because it increases the risk of hip dislocation. The hip should be kept in abduction using a pillow or abduction device.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.5"]
Explanation
Calculation:
- Identify the ordered dose and available concentration
Ordered Dose: 20 mg
Available Concentration: 40 mg/5 mL
- Calculate the volume to administer
Volume to administer = (Ordered Dose ÷ Concentration) × Volume of Concentration
Volume to administer = (20 ÷ 40) × 5
Volume to administer = 0.5 × 5
Volume to administer = 2.5 mL
Correct Answer is C
Explanation
Rationale:
A. A client who has dementia: Dementia affects cognitive function but does not inherently increase susceptibility to respiratory complications from mold exposure. While general health monitoring is important, this client is not at high risk for mold-related adverse effects.
B. A client who has osteoarthritis: Osteoarthritis primarily affects joints and mobility. It does not compromise the respiratory system or immune response in a way that would increase vulnerability to mold exposure.
C. A client who has cystic fibrosis: Clients with cystic fibrosis have impaired mucociliary clearance and chronic respiratory vulnerability, making them more susceptible to respiratory infections and complications from environmental mold exposure. Mold inhalation can exacerbate pulmonary symptoms and lead to significant health risks.
D. A client who has chronic hypertension: Hypertension affects the cardiovascular system but does not directly increase susceptibility to respiratory complications from mold. This client is not considered high risk for adverse effects from mold exposure.
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