A nurse is planning care for a client who is 6 hr. postoperative following a right knee arthroplasty. Which of the following interventions should the nurse include in the client's plan of care?

Apply warm, moist packs to the surgical site.

Massage the lower leg in smooth, long strokes.

Place a pillow under the client's surgical knee.

Use the continuous passive-motion machine intermittently.

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Applying warm, moist packs to the surgical site may not be indicated as it can potentially increase swelling and disrupt the surgical site.

Choice B Reason:

Massaging the lower leg in smooth, long strokes is generally not recommended in the early postoperative period, as it can disturb the surgical site and potentially lead to complications.

Choice C Reason:

When planning care for a client who is postoperative following a knee arthroplasty, placing a pillow under the surgical knee can be beneficial. This helps maintain proper alignment, reduces pressure on the surgical site, and promotes comfort and circulation. Elevating the leg slightly with a pillow can also help reduce swelling and minimize the risk of complications such as deep vein thrombosis (DVT).

Choice D Reason:

Using the continuous passive-motion (CPM) machine intermittently should be done as ordered by the healthcare provider and under their guidance. CPM is typically initiated early postoperatively, often within the first 24 hours after surgery.

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Correct Answer is A

Explanation

The shoulder harnesses of the car seat should be positioned at or slightly below the level of the infant's shoulders. This helps secure the infant properly in the car seat and provides appropriate protection in the event of a crash.

Car seats for infants should not be positioned at a 90° angle. Instead, they should be installed at a reclined angle, as recommended by the car seat manufacturer. The specific recline angle can vary depending on the car seat model and the age of the child.

Additional cushions or support devices should not be placed in the car seat unless specifically recommended by the car seat manufacturer. Extra padding or cushions can interfere with the proper fit of the harness and compromise the safety of the infant.

It is not safe to have an infant's car seat in the front seat if there is an active airbag. The safest place for an infant's car seat is in the rear seat, preferably in the middle position. If the car does not have a rear seat, it is important to disable the airbag if the car seat must be placed in the front seat.

A. To bury the client's body within 24 hr of their death B. To cremate the client's body C. To stay with the client's body for 8 hr following their death D. To prohibit medical personnel from touching the client's body

Correct Answer is B

Explanation

Choice A Reason:

Burying the body within 24 hours is not a common Hindu practice.

Choice B Reason:

To cremate the client's body is correct .Hinduism traditionally practices cremation as the preferred method of disposing of the deceased's body. The other options are not typically associated with Hindu funeral customs:

Choice C Reason:

Staying with the body for 8 hours following death is not a strict Hindu requirement, although family members may choose to stay with the body for a period of time.

Choice D Reason:

Prohibiting medical personnel from touching the body is not a common Hindu custom, although some families may prefer to handle the body themselves.

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A nurse is planning care for a client who is 6 hr. postoperative following a right knee arthroplasty. Which of the following interventions should the nurse include in the client's plan of care?

Nursing Test Bank

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Correct Answer is B

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