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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Canned green beans is incorrect. While green beans can contain some potassium, they typically have lower potassium content compared to sweet potatoes.
Choice B Reason:
Sweet potatoes are one of the foods highest in potassium. They are an excellent dietary source of potassium, along with other essential nutrients like vitamins and fiber.
Choice C Reason:
Baked chicken breast: Chicken is a good source of protein, but it is not a significant source of potassium.
Choice D Reason:
D. Wheat bread: Wheat bread is not a significant source of potassium either. It is primarily a source of carbohydrates and fiber.
Correct Answer is C
Explanation
A. Members of a health care team can share a computer password:
- Sharing computer passwords compromises security and violates client privacy. Each team member should have their unique login credentials for secure access.
B. A client is restricted from accessing his own medical records:
- Clients typically have rights to access their own medical records. Restricting their access without valid legal reasons violates their privacy rights.
C. Information regarding client health can be e-mailed if encrypted:
- This statement addresses the importance of secure electronic communication. Sending client health information via email should be done using encrypted methods to maintain confidentiality and prevent unauthorized access.
D. Unwanted printed health information can be discarded in a trash can:
- Disposing of health information in an unsecured manner, such as discarding it in a trash can, can lead to breaches of privacy. Proper disposal methods, such as shredding or using secure disposal bins, should be followed to maintain confidentiality.
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