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.”. .

Answer and Explanation

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. .

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Correct Answer is ["B","C","E"]

Explanation

Choice A rationale
Acetone breath is a characteristic symptom of diabetic ketoacidosis (DKA), not hyperosmolar hyperglycemic syndrome (HHS). In DKA, the body produces ketones, leading to a fruity or acetone-like breath odor. HHS, on the other hand, does not typically involve significant ketone production.
Choice B rationale
Fever can be a manifestation of HHS, often due to an underlying infection or illness that precipitates the hyperglycemic state. Infections are common triggers for HHS, leading to elevated body temperature.
Choice C rationale
Serum glucose levels of 800 mg/dL are indicative of HHS. HHS is characterized by extremely high blood glucose levels, often exceeding 600 mg/dL, without significant ketoacidosis.
Choice D rationale
Serum bicarbonate levels of 15 mEq/L are more indicative of DKA rather than HHS. In HHS, bicarbonate levels are usually within the normal range because there is no significant ketoacidosis.
Choice E rationale
Insidious onset is a hallmark of HHS. The condition develops gradually over days to weeks, unlike DKA, which has a more rapid onset.

Correct Answer is ["22.6"]

Explanation

Step 1 is: Determine the amount of potassium chloride per mL. 20 mEq ÷ 15 mL = 1.33 mEq/mL Step 2 is: Calculate the volume needed to administer 30 mEq. 30 mEq ÷ 1.33 mEq/mL

= 22.56 mL The nurse should administer 22.6 mL (rounded to the nearest tenth).

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for an older adult client who has hyperglycemia, polydipsia, and polyuria. Which of the following manifestations supports the clinical presentation of hyperosmolar hyperglycemic syndrome (HHS)? (Select All that Apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. (Do not use a trailing zero)

Correct Answer is ["22.6"]

Explanation

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