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 A

Explanation

A. Wiping the nose instead of blowing it reduces the risk of trauma to the nasal mucosa, which can lead to bleeding, especially in individuals with thrombocytopenia.
B. Removing shoes inside the house is a general hygiene practice and does not specifically address the risk of bleeding associated with thrombocytopenia.
C. Using an enema to manage constipation is unrelated to thrombocytopenia and may not be indicated without further assessment and guidance from healthcare providers.
D. While oral hygiene is important, flossing may increase the risk of gum bleeding in individuals with thrombocytopenia, and its frequency should be discussed with healthcare providers.

A. Set up the sterile field 5 cm (2 in) below waist level. B. Place the sterile dressing within 1.25 cm (0.5 in) of the edge of the sterile field. C. Open the outermost flap of the sterile kit toward the body. D. Place the cap from the solution sterile side up on a clean surface.

Correct Answer is D

Explanation

A: The sterile field should be set up at or above waist level to prevent contamination from higher surfaces, not below.
B: The outer edge (about 2.5 cm or 1 inch) of the sterile field is considered non-sterile, so placing the sterile dressing close to the edge risks contamination.

C: The outermost flap of the sterile kit should be opened away from the body to avoid reaching over the sterile field, which could lead to contamination.
D: The cap should be placed sterile side up to maintain its sterility if it needs to be reapplied to the solution bottle.

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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

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Correct Answer is D

Explanation

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