A nurse is caring for an older adult client who has had a total hip arthroplasty.
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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Nursing assistants are at an increased risk for carpal tunnel syndrome due to the repetitive nature of tasks like lifting, transferring, and assisting patients, which can lead to strain on the wrist and pressure on the median nerve. This is a classic risk factor for developing carpal tunnel syndrome.
B. Truck drivers may experience some repetitive motion strain, but their primary risk factors are more related to prolonged sitting, poor posture, and vibration exposure rather than specific wrist movements.
C. Elementary school teachers may engage in repetitive activities like writing or grading, but these are less likely to cause carpal tunnel syndrome compared to occupations that involve frequent lifting or fine motor work.
D. Assembly line workers may be at risk for repetitive motion injuries, but the risk for carpal tunnel syndrome is more specific to jobs that require frequent wrist flexion and extension, such as those involving typing or assembly work requiring fine motor skills.
Correct Answer is C
Explanation
A. While bile and pancreatic enzymes play a role in digestion, dumping syndrome is not related to an increase in their secretion.
B. Dumping syndrome is not caused by an inability to digest high-fat foods, but rather by the rapid passage of undigested food into the small intestine, which can cause symptoms like nausea, dizziness, and diarrhea.
C. Dumping syndrome occurs when food, especially sugar, moves too quickly from the stomach into the small intestine, overwhelming the digestive system. This leads to symptoms like abdominal cramping, dizziness, and diarrhea.
D. Dumping syndrome is not related to insulin secretion; it is more about the rapid emptying of food into the small intestine.
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