A nurse is reinforcing discharge teaching with a client who had a right total hip arthroplasty. Which of the following Instructions should the nurse include?

"You should avoid putting a pillow between your legs when in bed."

"You should avoid exercising for the next 6 weeks."

"You should avoid lying on your right side."

"You should avoid crossing your legs for 3 months."

Answer and Explanation

The Correct Answer is C

A.   Placing a pillow between the legs can actually provide support and comfort when lying on the back or non-operative side.
B.   Gentle exercises are typically encouraged after hip arthroplasty to promote circulation and prevent complications.
C.   Correct. Avoiding lying on the operative side helps prevent dislocation of the new hip joint.
D.   Avoiding crossing the legs helps prevent hip joint stress, but avoiding lying on the operative side is more crucial.

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Correct Answer is B

Explanation

A. Incorrect. Plaster casts are not waterproof and can become weakened if exposed to moisture, so showering with the cast is generally not recommended.
B. Correct. Elevating the extremity can help reduce swelling and promote comfort after the cast is applied.
C. Incorrect. Using a hair dryer inside the cast can cause burns and is not recommended for relieving itching.
D. Incorrect. Keeping the cast covered is not necessary, and covering it can trap moisture, potentially causing skin problems.

A. Posterior fontanel closed B. Anterior fontanel closed C. Rolls from back to abdomen D. Moves objects to mouth

Correct Answer is B

Explanation

A. Incorrect. The closure of the posterior fontanel by 23 months is a normal developmental milestone.
B. Correct. The anterior fontanel typically closes by 12 to 18 months of age. If it closes prematurely, it could be a sign of craniosynostosis and should be assessed by the provider.
C. Incorrect. Rolling from the back to the abdomen is a normal developmental milestone at around 46 months of age.
D. Incorrect. Moving objects to the mouth is a normal developmental behavior in infants as they explore their environment through sensory input.

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A nurse is reinforcing discharge teaching with a client who had a right total hip arthroplasty. Which of the following Instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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