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A nurse is caring for an older adult client who has had a total hip arthroplasty.

Exhibits

For each potential precaution, click to specify if the precaution is indicated or contraindicated for a client who has had a total hip arthroplasty.

A.

Request an antiemetic medication.

B.

Encourage the client to cough and deep breathe every 2 hr.

C.

Ensure an abductor pillow is in place while the client is in bed.

D.

Anticipate the administration of antibiotics.

E.

Obtain a culture of the drainage from the surgical site.

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}

  • Request an antiemetic medication: Contraindicated
    • Rationale: Antiemetic medications are not typically required unless the client is experiencing nausea or vomiting, which is not indicated in this scenario.
  • Encourage the client to cough and deep breathe every 2 hr: Indicated
    • Rationale: Encouraging coughing and deep breathing helps prevent respiratory complications such as pneumonia, which is important postoperatively.
  • Ensure an abductor pillow is in place while the client is in bed: Indicated
    • Rationale: An abductor pillow helps maintain proper hip alignment and prevents dislocation of the hip joint after surgery.
  • Anticipate the administration of antibiotics: Indicated
    • Rationale: Administering antibiotics helps prevent infection, which is a common concern after surgical procedures.
  • Obtain a culture of the drainage from the surgical site: Indicated
    • Rationale: Obtaining a culture of the drainage can help identify any potential infections and guide appropriate treatment.


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Related Questions

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"C"}}

Explanation

Obtain intravenous access: Anticipated

  • Rationale: Intravenous access is essential for administering medications and fluids, especially in emergency situations.

Thoracentesis: Contraindicated

  • Rationale: Thoracentesis is typically used to remove fluid from the pleural space, not air. For a pneumothorax, other interventions are more appropriate.

Prepare for insertion of a chest tube: Anticipated

  • Rationale: Inserting a chest tube is a common and effective treatment for a pneumothorax to remove air from the pleural space and allow the lung to re-expand.

Obtain ABGs (Arterial Blood Gases): Anticipated

  • Rationale: ABGs are important to assess the client's respiratory status and the extent of hypoxemia or hypercapnia.

Computed tomography of the chest: Non-essential

  • Rationale: While a CT scan can provide detailed images, it is not immediately necessary for the diagnosis and initial management of a pneumothorax. A chest X-ray is usually sufficient.

Pulmonary function tests: Contraindicated

  • Rationale: Pulmonary function tests are not appropriate in the acute setting of a pneumothorax as they can exacerbate the condition and are not useful for immediate management

Correct Answer is D

Explanation

A. Sodium bicarbonate is typically used in cases of metabolic acidosis, especially during prolonged resuscitation efforts. It is not the first-line medication for symptomatic bradycardia.
B. Magnesium is used in cases of torsades de pointes or other arrhythmias associated with low magnesium levels. It is not indicated for symptomatic bradycardia.
C. Epinephrine is used in cases of cardiac arrest to stimulate the heart and improve perfusion, but it is not the first-line treatment for symptomatic bradycardia.
D. Atropine is the first-line medication for symptomatic bradycardia. It works by blocking the parasympathetic effects on the heart, increasing heart rate. This is especially useful in bradycardia that is causing symptoms like hypotension or altered mental status.

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