A nurse is caring for a client who is about to be discharged to a rehabilitation facility after knee surgery. Which of the following interventions should the nurse expect to find in the client's care plan?

The client should place a pillow under their knee when resting.

The client should take an anticoagulant for 3 days following surgery.

The client should begin to ambulate using a walker or a cane.

The client should begin physical therapy 3 weeks after surgery.

Answer and Explanation

The Correct Answer is C

A. The client should place a pillow under their knee when resting: Placing a pillow under the knee after surgery is generally not recommended because it can promote flexion contractures. Instead, the knee should be kept in a neutral or slightly extended position to maintain proper alignment and prevent stiffness.

B. The client should take an anticoagulant for 3 days following surgery: Anticoagulant therapy after knee surgery is typically prescribed for a longer period, often several weeks, depending on the client’s risk for deep vein thrombosis. A 3-day regimen would be insufficient for most post-operative patients.

C. The client should begin to ambulate using a walker or a cane: Early ambulation with assistive devices is a standard intervention in post-knee surgery rehabilitation. It helps maintain mobility, prevents complications like deep vein thrombosis and muscle atrophy, and promotes joint function while ensuring safety as the client regains strength.

D. The client should begin physical therapy 3 weeks after surgery: Physical therapy usually begins within 24–48 hours post-surgery or as soon as the client is medically stable. Delaying therapy for 3 weeks would hinder recovery, increase stiffness, and delay functional independence.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "The test will determine if there is leaking amniotic fluid.": The nitrazine test is used to detect the presence of amniotic fluid in the vagina by measuring pH. A positive result indicates a more alkaline pH, suggesting rupture of membranes. This explanation accurately describes the purpose of the test to the client.

B. "Your bladder should be full prior to me performing this test.": A full bladder is not required for a nitrazine test. In fact, urine can interfere with results because it is acidic and may cause a false-negative reading, so the bladder should not influence the test outcome.

C. "I will be taking a blood sample to test for changes in your hormone levels.": The nitrazine test does not involve blood samples and is unrelated to hormone levels. It is performed using vaginal fluid to detect amniotic fluid, so this statement is inaccurate.

D. "If this test is positive you will be required to have a non-stress test.": A positive nitrazine test indicates ruptured membranes, which may require further assessment, but it does not automatically mandate a non-stress test. Additional evaluation and clinical judgment guide next steps rather than an automatic NST.

A. Recommend the client begin behavioral therapy. B. Request a referral for electroconvulsive therapy. C. Request a prescription for a stimulant medication. D. Inform the client that hospitalization is not used for the treatment of a gambling disorder.

Correct Answer is A

Explanation

A. Recommend the client begin behavioral therapy: Behavioral therapy, particularly cognitive-behavioral therapy (CBT), is the first-line treatment for gambling disorder. It helps the client identify triggers, develop coping strategies, and change maladaptive behaviors associated with gambling.

B. Request a referral for electroconvulsive therapy: Electroconvulsive therapy (ECT) is not indicated for gambling disorder. ECT is primarily used for severe depression or treatment-resistant psychiatric conditions and does not address behavioral addictions.

C. Request a prescription for a stimulant medication: Stimulants are not recommended for treating gambling disorder and could worsen impulsivity or addictive behaviors. Pharmacologic therapy, when used, typically involves SSRIs or opioid antagonists for specific symptom management.

D. Inform the client that hospitalization is not used for the treatment of a gambling disorder: While outpatient therapy is common, some clients may require short-term hospitalization if comorbid psychiatric conditions or severe psychosocial crises are present. Blanket statements about hospitalization are not appropriate as part of individualized care planning.

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A nurse is caring for a client who is about to be discharged to a rehabilitation facility after knee surgery. Which of the following interventions should the nurse expect to find in the client's care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is requesting information from a nurse about a nitrazine test. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is developing a plan of care for a client who has a gambling disorder. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

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