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 D

Explanation

A. Elevating the feet can help reduce swelling and promote venous return, which is beneficial in preventing VTE.
B. Flexing the ankles (e.g., through ankle pumps) is an effective way to promote circulation and reduce the risk of VTE.
C. Ambulating soon after surgery is encouraged as it helps improve circulation and reduces the risk of blood clots.
D. Massaging the legs is unsafe because it can dislodge a clot if one is present, leading to a potential embolism. It is important to avoid deep pressure on the legs in clients at risk for VTE.

A. Assess for neck vein distention B. Monitor for postural hypotension C. Assess blood glucose level D. Weigh the client daily E. Monitor for an irregular heart rate

Correct Answer is ["A","C","D","E"]

Explanation

A. Assess for neck vein distention: Cushing's syndrome is associated with fluid retention and increased blood volume, which can lead to neck vein distention.
B. Monitor for postural hypotension: This is typically not a concern in Cushing's syndrome. In fact, clients with Cushing's syndrome often experience elevated blood pressure due to increased fluid volume and sodium retention.
C. Assess blood glucose level: Cushing's syndrome often causes hyperglycemia due to excess cortisol, which can impair insulin action and increase blood glucose levels.
D. Weigh the client daily: Weight gain, particularly in the face, abdomen, and upper back, is a common symptom of Cushing's syndrome due to fluid retention and fat redistribution. Monitoring weight is important for tracking fluid retention.
E. Monitor for an irregular heart rate: Cushing's syndrome can lead to electrolyte imbalances, such as hypokalemia, which can affect heart rhythm, leading to arrhythmias.

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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

A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?

Correct Answer is D

Explanation

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Correct Answer is ["A","C","D","E"]

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.