A nurse is caring for a client who is being discharged home following a total hip arthroplasty. Which of the following findings in the home should the nurse Identify as a potential risk for Injury?

Elevated toilet seats

No stairs in the home

Reclining chair with a straight back

Large soaking tub without a shower head

Answer and Explanation

The Correct Answer is D

A: Elevated toilet seats are often recommended following hip surgery to reduce strain, not increase the risk of injury.
B: No stairs in the home is generally a positive feature for a client following hip surgery, reducing fall risk.
C: A reclining chair with a straight back may provide comfortable seating without increasing the risk of injury.
D: A large soaking tub without a shower head can increase the risk of falls and injury due to difficulty getting in and out of the tub, especially for a client recovering from hip surgery.

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Correct Answer is B

Explanation

A: While social workers can assist with many aspects of care, they may not always be able to provide legal representation or assistance.

B: While legal representation can be helpful, advance directives can be valid and legally binding documents even without it.
C: Verbal agreements are generally not sufficient for advance directives; written documentation is typically required.
D: While medical care can be initiated regardless of advance directives, it's important to inform the client that they can create directives without immediate legal assistance.

A. Warm skin temperature distal to pin site B. Faint pedal pulse of left leg C. Pain with movement of the left great toe D. Purulent drainage at the pin site

Correct Answer is B

Explanation

A. Warm skin temperature distal to pin site: Warmth in the extremity distal to the pin site is generally a positive sign and suggests adequate circulation.
B. A faint pedal pulse of the left leg suggests altered tissue perfusion distal to the traction site. This finding could indicate impaired blood flow to the foot, potentially due to the traction device compressing blood vessels or other circulatory issues.
C. Pain with movement of the left great toe: While pain with movement might indicate tissue injury, it's not necessarily indicative of altered tissue perfusion unless accompanied by other signs such as diminished pulse.
D. Purulent drainage at the pin site: Purulent drainage suggests infection rather than altered tissue perfusion.

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A nurse is caring for a client who is being discharged home following a total hip arthroplasty. Which of the following findings in the home should the nurse Identify as a potential risk for Injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

A nurse is assessing a client who is in skeletal traction for a fractured left tibia. The nurse should identify that which of the following findings indicates altered tissue perfusion of the affected extremity?

Correct Answer is B

Explanation

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