A nurse is providing discharge instructions to an older adult client who had a hip replacement surgery.

Which of the following statements by the client indicates a need for further teaching?

“I will use a walker until I can walk without pain.”.

“I will avoid crossing my legs or bending my hip more than 90 degrees.”.

“I will sleep on my back with a pillow between my legs.”.

“I will apply ice to my hip if it becomes swollen or inflamed.”.

Answer and Explanation

The Correct Answer is A

The correct answer is A.

“I will use a walker until I can walk without pain.” This statement indicates a need for further teaching because the client should use a walker or other assistive device until they have regained their balance, flexibility and strength, not just until the pain subsides. Using a walker too long or too little can affect the healing process and the stability of the new hip joint.

Choice B is correct because the client should avoid crossing their legs or bending their hip more than 90 degrees to prevent dislocating the new hip joint.

Choice C is correct because the client should sleep on their back with a pillow between their legs to keep the hip in a neutral position and prevent excessive internal or external rotation.

Choice D is correct because the client should apply ice to their hip if it becomes swollen or inflamed to reduce pain and inflammation. The client should also elevate their leg and notify their healthcare provider if they notice any signs of infection, such as fever, chills, redness, warmth or drainage from the incision site.

Normal ranges for hip replacement surgery recovery vary depending on the individual and the type of surgery, but some general guidelines are:.

• The client should be able to walk with a cane or crutches within 2 to 4 weeks after surgery.

• The client should be able to resume most daily activities within 6 to 12 weeks after surgery.

• The client should avoid high-impact activities, such as running, jumping or contact sports, for at least 6 months after surgery.

• The client should have regular follow-up visits with their healthcare provider and physical therapist to monitor their progress and adjust their treatment plan as needed.

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Correct Answer is D

Explanation

The correct answer is D.

Decreased mental status.Dehydration in elderly people can cause confusion, disorientation, or drowsiness due to the loss of water and electrolytes from the body.

These symptoms can affect the cognitive function and alertness of the client.Dehydration can also lead to complications such as kidney problems, electrolyte imbalances, or low blood pressure.

Choice A is wrong because increased skin turgor is not a sign of dehydration.

Skin turgor is the ability of the skin to return to its normal shape after being pinched or pulled.Dehydration causes decreased skin turgor, meaning the skin stays tented or wrinkled after being pinched.

Choice B is wrong because decreased pulse rate is not a sign of dehydration.Dehydration causes increased pulse rate, as the heart has to work harder to pump blood to the vital organs when there is less fluid in the body.

Choice C is wrong because increased urine output is not a sign of dehydration.Dehydration causes decreased urine output, as the kidneys try to conserve water and produce more concentrated urine.

The urine may also be darker in color than normal.

Normal ranges for fluid intake and output vary depending on age, weight, activity level, and health status.

However, a general guideline is to drink at least eight 8-ounce glasses of water per day and produce at least 30 mL of urine per hour.

A. “You can try using a vacuum device or a penile implant to achieve an erection.”. B. “You can take oral medications such as sildenafil or tadalafil before sexual activity.”. C. “You can inject medications such as alprostadil or papaverine into your penis before sexual activity.”. D. “You can do any of the above options, depending on your preference and medical condition.”.

Correct Answer is D

Explanation

You can do any of the above options, depending on your preference and medical condition.

Erectile dysfunction (ED) is the inability to get and maintain an erection for sexual activity.

It can be caused by physical or psychological factors, or both.

ED can affect your self-esteem, stress level and relationship quality.

There are different treatment options for ED, and they work in different ways.

Some of the most common ones are:.

• Oral medicationssuch as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) or avanafil (Stendra).

These drugs enhance the effects of nitric oxide, a chemical that relaxes the muscles in the penis and increases blood flow.

You need to take them before sexual activity, and they only work if you are sexually stimulated.

They are not safe for everyone, especially if you have heart problems, low blood pressure, liver disease or certain eye conditions.They can also cause side effects such as headache, flushing, nasal congestion or indigestion.

• Penile self-injectionssuch as alprostadil (Caverject, Edex) or papaverine (OraVerse).

These are shots of medicine that you inject into the base or side of your penis with a fine needle.

They cause an erection by dilating the blood vessels in the penis.

The erection lasts about 20 to 30 minutes, and you need to use them only when needed.They can cause side effects such as bleeding, pain, priapism (a prolonged and painful erection) or fibrous tissue formation.

• Alprostadil urethral suppository(Muse).

This is a tiny pellet of medicine that you insert into your urethra (the tube that carries urine out of the body) with a special device.

It works by expanding the blood vessels in the penis and causing an erection.

The erection lasts about 30 to 60 minutes, and you need to use it only when needed.It can cause side effects such as burning, pain, bleeding or infection.

• Vacuum erection device(VED).

This is a plastic tube that you place over your penis and pump out the air to create a vacuum.

This draws blood into the penis and causes an erection.

You then slide a rubber ring around the base of your penis to keep the blood in place.

The erection lasts as long as the ring is on, up to 30 minutes.

You need to use it only when needed.It can cause side effects such as bruising, numbness, pain or difficulty ejaculating.

• Penile implant surgery.

This is a procedure where inflatable or bendable devices are surgically placed on both sides of your penis.

You can control when and how long you have an erection by inflating or deflating the devices with a pump or a switch.This is a permanent solution for ED, but it requires surgery and has risks of infection, mechanical failure or erosion.

Other treatment options for ED include hormone therapy, psychotherapy, lifestyle changes and natural remedies.

However, these may not be as effective or safe as the ones mentioned above.

The best treatment option for you depends on your personal preference, medical condition, cost and availability.

You should talk to your doctor about the benefits and risks of each option and choose the one that suits you best.

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A nurse is providing discharge instructions to an older adult client who had a hip replacement surgery. Which of the following statements by the client indicates a need for further teaching?

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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A nurse is providing discharge instructions to an older adult client who had a hip replacement surgery.

Which of the following statements by the client indicates a need for further teaching?