A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?
Remain on bedrest for the first 24 hr.
Apply ice to the affected area.
Begin active range of motion.
Keep the leg in a dependent position.
The Correct Answer is B
A. Remain on bedrest for the first 24 hr.: This is not recommended after arthroscopic knee surgery. Early mobilization and ambulation are encouraged to prevent complications such as blood clots and promote healing.
B. Apply ice to the affected area: This is an important instruction. Applying ice can help reduce swelling and pain after surgery. It's typically recommended for the first 24-48 hours.
C. Begin active range of motion: While range of motion exercises are important, they should be initiated as directed by the healthcare provider, and they should be done gently to avoid straining the surgical site.
D. Keep the leg in a dependent position: This is not recommended. Elevating the leg can help reduce swelling and promote circulation. Keeping the leg in a dependent position could exacerbate swelling and discomfort.
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Related Questions
Correct Answer is B
Explanation
A. Positioning the client in a high-Fowler's position if clear drainage is noted on the dressing is not a specific intervention for a laminectomy with spinal fusion. The nurse should follow the surgeon's specific postoperative orders regarding positioning and wound care.
B. Monitoring sensory perception of the lower extremities is a crucial nursing intervention after a laminectomy with spinal fusion. This is to assess for any signs of neurovascular compromise or nerve damage.
C. Assisting the client into the knee-chest position to manage postoperative discomfort is not a recommended position after a laminectomy with spinal fusion. The nurse should follow the surgeon's specific postoperative orders regarding positioning.
D. Maintaining strict bed rest for the first 48 hours postoperative is not typically indicated after a laminectomy with spinal fusion. Early mobilization and ambulation are often encouraged to prevent complications and promote recovery. The nurse should follow the surgeon's specific postoperative orders regarding activity and mobility.
Correct Answer is D
Explanation
A. Vitamin B is a group of vitamins that play various roles in the body, including energy metabolism and nerve function. While it is important for overall health, it is not specifically known for wound healing.
B. Vitamin E is an antioxidant that helps protect cells from damage. While it is important for overall health, it is not specifically known for wound healing.
C. Folate (also known as vitamin B9) is essential for DNA synthesis and repair, as well as cell division. It is important for overall health, but it is not as directly associated with wound healing as vitamin C.
D. Correct. Vitamin C, also known as ascorbic acid, is essential for collagen synthesis, which is a key component of wound healing. It helps in the formation of scar tissue and the repair of damaged skin.
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