A nurse is reinforcing discharge instructions to a client who is postoperative from a hip arthroplasty. Which of the following statements by the client indicates a correct understanding of the teaching?
“I will avoid wearing socks on my feet.”.
“I will avoid performing leg exercises.”.
“I will avoid crossing my legs for the first 3 months after surgery.”.
“I will avoid lying on the side of my surgery when I get home.”. .
The Correct Answer is C
Choice A rationale
Wearing socks on the feet is not related to hip arthroplasty recovery and does not impact the healing process.
Choice B rationale
Performing leg exercises is important for preventing blood clots and maintaining mobility after hip arthroplasty.
Choice C rationale
Avoiding crossing the legs for the first 3 months after surgery helps prevent dislocation of the hip joint and promotes proper healing.
Choice D rationale
Lying on the side of the surgery may be uncomfortable, but it is not necessarily contraindicated. Proper positioning and support can help manage discomfort. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Respiratory alkalosis is incorrect. Respiratory alkalosis is characterized by a high pH and low PaCO₂, which is not consistent with the given ABG values. The client’s pH is low (7.22), indicating acidosis, and the PaCO₂ is high (68 mm Hg), indicating a respiratory cause.
Choice B rationale
Respiratory acidosis is correct. Respiratory acidosis occurs when there is an accumulation of carbon dioxide (CO₂) in the blood, leading to a decrease in pH. The given ABG values show a low pH (7.22) and a high PaCO₂ (68 mm Hg), which are indicative of respiratory acidosis. The elevated bicarbonate (28 mEq/L) suggests partial compensation by the kidneys.
Choice C rationale
Metabolic acidosis is incorrect. Metabolic acidosis is characterized by a low pH and low bicarbonate (HCO₃⁻) levels. In this case, the bicarbonate level is elevated (28 mEq/L), which is not consistent with metabolic acidosis. The primary issue is respiratory, as indicated by the high PaCO₂.
Choice D rationale
Metabolic alkalosis is incorrect. Metabolic alkalosis is characterized by a high pH and high bicarbonate levels. The given ABG values show a low pH (7.22), which indicates acidosis, not alkalosis. Additionally, the primary issue is respiratory, as indicated by the high PaCO₂.
Correct Answer is B
Explanation
Choice A rationale
Increased urine ketones are more commonly associated with diabetic ketoacidosis (DKA) rather than fluid volume deficit. DKA involves the breakdown of fat for energy, leading to ketone production.
Choice B rationale
Increased urine specific gravity is an expected finding in fluid volume deficit. It indicates concentrated urine due to decreased fluid intake or excessive fluid loss.
Choice C rationale
Decreased hematocrit is not typically associated with fluid volume deficit. In fact, hematocrit levels may be elevated due to hemoconcentration when there is a significant loss of fluid.
Choice D rationale
Decreased urine output is a common sign of fluid volume deficit. The body conserves water by reducing urine production to maintain fluid balance.
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