A nurse is helping a postoperative patient following a total hip arthroplasty into a supine position.

Which of the following actions is appropriate to prevent hip dislocation?

Place a wedge pillow between the legs.

Place a footboard on the bed.

Place a sandbag to the lateral calf.

Place a trochanter roll against the thigh.

Answer and Explanation

The Correct Answer is A

After a total hip arthroplasty, it is important to prevent hip dislocation. One way to do this is to place a wedge pillow between the legs. This helps to keep the hip in a stable position and prevents the hip from moving too much, which could lead to dislocation.

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Correct Answer is B

Explanation

Choice A rationale
A 33-year-old with burns to the back and shoulders. While this patient’s injuries are serious, they are not immediately life-threatening. The back and shoulders are not vital areas, and while pain management and wound care will be necessary, this patient’s situation is not as urgent as others.
Choice B rationale
A 32-year-old with burns on the hands and face. This patient should be attended to first. Burns on the hands and face are more serious due to the high risk of infection and the potential for complications such as impaired breathing if the airway swells or becomes blocked due to the burns. Immediate treatment can help to prevent these complications.
Choice C rationale
A 42-year-old with burns on both legs. While these burns are serious, they are not immediately life-threatening. The patient will need pain management and wound care, and may have mobility issues, but their vital organs are not directly impacted by the burns.
Choice D rationale
A 25-year-old with a burn on the left arm. This patient, while in need of treatment, is not the highest priority. A burn on the arm, while painful and requiring treatment, is not as potentially serious or life-threatening as burns to the face, hands, or major portions of the body.

A. Test stools for occult blood B. Insert a nasogastric tube, attach to low suction C. Administer aspirin for abdominal pain D. Initiate IV fluids

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

Based on the provided exhibits, here are the considerations for the provider’s prescriptions:

Test stools for occult blood:Anticipated. Given the client’s report of vomiting brown emesis, which could indicate gastrointestinal bleeding, testing stools for occult blood is a standard diagnostic approach to confirm or rule out bleeding.
Insert a nasogastric tube, attach to low suction:Anticipated. The client has vomited coffee ground emesis, which is a sign of possible upper gastrointestinal bleeding. A nasogastric tube can help decompress the stomach and remove any remaining blood or gastric contents.
Administer aspirin for abdominal pain:Contraindicated. Aspirin can exacerbate gastrointestinal bleeding, especially in a client with a history of GERD and current symptoms that may suggest a gastrointestinal bleed.
Initiate IV fluids:Anticipated. The client’s vital signs indicate tachycardia and hypotension, which, along with the clinical presentation, suggest volume depletion possibly due to vomiting and potential bleeding. IV fluids are necessary to maintain hemodynamic stability.

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A nurse is helping a postoperative patient following a total hip arthroplasty into a supine position. Which of the following actions is appropriate to prevent hip dislocation?

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Naxlex Comprehensive Predictor Exams

Following an explosion at a local chemical lab, several people have sustained burns and are now in the triage area. Which patient should be attended to first?

Correct Answer is B

Explanation

A nurse is admitting a client. Review the exhibits to answer the question. Exhibits For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

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A nurse is helping a postoperative patient following a total hip arthroplasty into a supine position.

Which of the following actions is appropriate to prevent hip dislocation?