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.

Request an antiemetic medication.

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

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

Anticipate the administration of antibiotics.

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.

Nursing Test Bank

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Correct Answer is B

Explanation

A. Holding the arm straight is not a test used to diagnose carpal tunnel syndrome. This action does not specifically test for nerve compression in the wrist.
B. Holding the wrist at a 90-degree flexion is a classic test for carpal tunnel syndrome, known as the Phalen's test. This maneuver increases pressure on the median nerve, which can reproduce symptoms of numbness and tingling in the fingers, a characteristic sign of carpal tunnel syndrome.
C. Flexing the right arm at the elbow is not a specific test for carpal tunnel syndrome. This action is more relevant for other conditions, such as assessing for ulnar nerve compression.
D. Extending the arm upward does not directly test for carpal tunnel syndrome. This movement may be used in other neurological assessments but is not specific to this condition.

A. Apply ice packs to affected leg. B. Keep the client's affected leg elevated while in bed. C. Have the client ambulate prior to applying antiembolic stockings. D. Massage the client's affected leg twice a day.

Correct Answer is B

Explanation

A. Apply ice packs to affected leg: While ice can help reduce swelling and pain in some conditions, it is not typically recommended for deep vein thrombosis (DVT) because it could increase the risk of clot dislodgement.
B. Keep the client's affected leg elevated while in bed: Elevating the leg helps reduce swelling and promotes venous return, which is important in managing DVT.
C. Have the client ambulate prior to applying antiembolic stockings: Ambulation is usually avoided initially in the presence of DVT until anticoagulation therapy is started to reduce the risk of clot dislodgement. Antiembolic stockings should be applied after anticoagulation therapy is initiated.
D. Massage the client's affected leg twice a day: Massaging the affected leg is contraindicated in DVT as it can increase the risk of dislodging the clot, leading to complications such as pulmonary embolism.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is planning care for a client who has deep vein thrombosis of the lower leg. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is B

Explanation

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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.