A nurse is contributing to the plan of care for a client following a total hip arthroplasty. Which of the following interventions should the nurse recommend?

Turn the client every 4 hr for 48 hr while on bed rest.

Have the client use an incentive spirometer every 4 hr.

Instruct the client to bend from the hip when retrieving items from the floor.

Maintain hip abduction when turning the client.

Answer and Explanation

The Correct Answer is D

A. Turn the client every 4 hr for 48 hr while on bed rest: Clients should be turned more frequently, typically every 2 hours, to prevent complications like pressure injuries and venous thromboembolism. Additionally, clients are often mobilized early postoperatively to reduce complications.
B. Have the client use an incentive spirometer every 4 hr: Incentive spirometry should be performed more frequently (every 1-2 hours) to prevent atelectasis and improve lung function post-surgery.
C. Instruct the client to bend from the hip when retrieving items from the floor: This motion risks hip dislocation. Clients should be instructed to avoid bending at the hip past 90 degrees.
D. Maintain hip abduction when turning the client. Maintaining hip abduction prevents dislocation of the prosthetic hip joint. This position keeps the hip joint in a neutral and stable alignment.

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Correct Answer is ["119"]

Explanation

Convert weight to kg:

175lb÷2.2=79.54kg

Multiply weight by dosage:

1.5mg/kg×79.54=119.31mg

Round to the nearest whole number: 119 mg

Correct answer: 119mg

A. "You will need to fast for 2 hours before the procedure." B. "You will have the bone marrow taken from your femur." C. "You will not receive a local anesthetic agent for this procedure." D. "I will hold pressure on the site after the procedure."

Correct Answer is D

Explanation

A. "You will need to fast for 2 hours before the procedure." Bone marrow aspiration typically does not require fasting. If the procedure involves sedation, the client may be instructed to fast for a certain period, but fasting is not a standard requirement for bone marrow aspiration.
B. "You will have the bone marrow taken from your femur." While the femur (thigh bone) can be a site for bone marrow aspiration, the most common site is the posterior iliac crest (the back of the pelvis). The nurse should clarify the exact site with the healthcare provider.
C. "You will not receive a local anesthetic agent for this procedure." Bone marrow aspiration is typically performed under local anesthesia to minimize discomfort at the site. The client will feel pressure during the procedure but should not experience pain due to the anesthesia.
D. "I will hold pressure on the site after the procedure." After a bone marrow aspiration, the nurse will apply pressure to the site to control any bleeding and help prevent hematoma formation. This is an important part of post-procedure care.

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A nurse is contributing to the plan of care for a client following a total hip arthroplasty. Which of the following interventions should the nurse recommend?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer enoxaparin 1.5 mg/kg subcutaneously to a client who weighs 175 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["119"]

Explanation

A nurse is reinforcing teaching with a client who is to undergo a bone marrow aspiration. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

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