A nurse is reinforcing discharge teaching to a client following arthroscopic (joint) surgery.
To prevent postoperative complications which of the following actions should be reinforced during the teaching of Continuous passive motion (CPM)?

Let the patient lift the machine onto the bed.

Tell the patient CPM will not hurt at all.

The patient really doesn't need to do CPM exercises.

Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Allowing the patient to lift the CPM machine onto the bed is not a safe practice. Arthroscopic surgery may result in limited mobility and discomfort for the patient. Lifting heavy equipment could potentially strain the surgical site or lead to injury.

Choice B rationale:

Telling the patient that CPM will not hurt at all is not accurate. While CPM is a passive motion technique aimed at preventing joint stiffness, some discomfort or mild pain may be experienced, especially during the initial sessions. Managing the patient's pain is essential to ensure compliance with the CPM exercises.

Choice C rationale:

Suggesting that the patient does not need to do CPM exercises is incorrect. CPM exercises are often prescribed after joint surgery to prevent joint stiffness, improve circulation, and aid in recovery. Discouraging the patient from participating in these exercises would be detrimental to their postoperative outcome.

Choice D rationale:

Administering an opioid analgesic to the client 30 minutes before initiating CPM exercises is the correct choice. CPM exercises can be uncomfortable for some patients, especially in the initial stages, and providing adequate pain relief before starting the exercises promotes patient comfort and compliance. It helps ensure that the patient can perform the exercises effectively without undue pain, reducing the risk of complications and promoting a successful recovery.

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Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"B"},"C":{"answers":"A,B"},"D":{"answers":"B"}}

Explanation

Blood pressure: This finding is consistent with preeclampsia, but not HELLP syndrome.Preeclampsia is defined as new-onset hypertension (systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg) after 20 weeks of gestation, with or without proteinuria.HELLP syndrome is a severe form of preeclampsia that involves hemolysis, elevated liver enzymes, and low platelets, but does not necessarily cause hypertension. Hemoglobin: This finding is consistent with HELLP syndrome, but not preeclampsia.

Hemolysis is one of the main features of HELLP syndrome, which causes a decrease in hemoglobin levels.Preeclampsia does not typically affect hemoglobin levels, unless there is significant blood loss or hemodilution.

Platelet count: This finding is consistent with both preeclampsia and HELLP syndrome.Low platelets (thrombocytopenia) are a common complication of preeclampsia, especially in severe cases.They are also a diagnostic criterion for HELLP syndrome, which requires a platelet count of less than 100,000/mm3.

Alanine aminotransferase: This finding is consistent with HELLP syndrome, but not preeclampsia.Elevated liver enzymes are another hallmark of HELLP syndrome, which indicates liver damage and inflammation.Preeclampsia may cause mild elevations of liver enzymes, but not to the same extent as HELLP syndrome.

A. Ice cream. B. Honey. C. Watermelon. D. Yogurt.

Correct Answer is D

Explanation

Choice A rationale:

Ice cream. Ice cream is not typically recommended for individuals with irritable bowel syndrome (IBS) as it contains dairy, which can exacerbate gastrointestinal symptoms in some people with lactose intolerance or dairy sensitivity. It may also be high in sugar, which can worsen IBS symptoms for some individuals.

Choice B rationale:

Honey. Honey is generally well-tolerated by individuals with IBS and can be used as a natural sweetener in moderation. However, it is not specifically recommended as a dietary inclusion for managing IBS symptoms.

Choice C rationale:

Watermelon. Watermelon is a low-fiber fruit that may be well-tolerated by some individuals with IBS, especially during periods of symptom flare-ups. However, it does not provide the beneficial probiotics and digestive enzymes found in yogurt, which can be helpful for some IBS patients.

Choice D rationale:

Yogurt. Yogurt, especially varieties containing live probiotic cultures, can be beneficial for individuals with IBS. Probiotics may help improve gut health and alleviate some gastrointestinal symptoms associated with IBS. It is often recommended as a dietary inclusion for those with IBS.

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A nurse is reinforcing discharge teaching to a client following arthroscopic (joint) surgery.To prevent postoperative complications which of the following actions should be reinforced during the teaching of Continuous passive motion (CPM)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"B"},"C":{"answers":"A,B"},"D":{"answers":"B"}}

Explanation

A nurse is assisting a client who has irritable bowel syndrome with meal selections.Which of the following foods should the nurse remind the client to include in her diet?

Correct Answer is D

Explanation

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A nurse is reinforcing discharge teaching to a client following arthroscopic (joint) surgery.
To prevent postoperative complications which of the following actions should be reinforced during the teaching of Continuous passive motion (CPM)?