A nurse is caring for a client who is 1-day postoperative following total hip arthroplasty. It is 0830 and the client is schedule for physical therapy (PT) at 0900. Which of the following interventions should the nurse take?

Teach the client which positions to avoid during PT.

Identify the client's pain level and medicate if needed.

Perform the client's morning care.

Encourage the client to use full weight bearing.

Answer and Explanation

The Correct Answer is B

B. Assessing the client's pain level is crucial, especially before physical therapy, as pain can affect participation and compliance with therapy. If the client is experiencing pain, appropriate pain management measures should be implemented before PT to optimize participation and comfort.

A. The nurse should educate the client on proper body mechanics and positions to avoid during physical therapy to promote safe movement and prevent complications. However, this is not a priority.

C. While morning care is important for maintaining hygiene and comfort, it may not be the priority at this specific time, especially if the client is scheduled for physical therapy soon.

D. Encouraging full weight bearing immediately postoperative may not be appropriate, as the surgical site needs time to heal and regain strength.

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Correct Answer is A

Explanation

A. Preventing hip flexion of the affected extremity is often a key component of postoperative care following total hip arthroplasty. This helps prevent dislocation of the new hip joint and promotes proper healing.

B. While some caution is necessary to prevent excessive movement that could strain the surgical site, complete avoidance of movement in the affected leg is not recommended.

C. Ensuring that the client's heels are touching the bed is not typically a specific intervention related to postoperative care following total hip arthroplasty.

D. Positioning the lower extremities so that they are touching is not typically a specific intervention related to postoperative care following total hip arthroplasty.

A. Take with grapefruit juice. B. Mix with chocolate milk C. Use a plastic container to mix. D. Take the medication between meals. E. None F. None

Correct Answer is D

Explanation

D. Cyclosporine is typically taken on an empty stomach, either 1 hour before or 2 hours after a meal, to improve absorption. Taking it with food, especially high-fat meals, can decrease absorption and effectiveness.

A. Grapefruit juice can interact with cyclosporine, leading to increased blood levels of the medication and potentially causing toxicity. Therefore, clients should be advised to avoid grapefruit juice when taking cyclosporine.

B. Mixing cyclosporine oral solution with chocolate milk or any other liquid should be done only if directed by the healthcare provider or as specified in the medication instructions.

C. Using a plastic container to mix the oral solution may reduce the risk of interaction compared to using metal or glass containers. However, it's important to follow the specific instructions provided with the medication.

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A nurse is caring for a client who is 1-day postoperative following total hip arthroplasty. It is 0830 and the client is schedule for physical therapy (PT) at 0900. Which of the following interventions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is postoperative following a total hip arthroplasty. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

A nurse is teaching a client who has a new prescription for cyclosporine oral solution to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

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