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."
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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Related Questions
Correct Answer is ["B","C"]
Explanation
A. Not indicated and could lead to complications.
B. The client reports abdominal cramping and a small, hard, painful bowel movement. A sit bath can help provide relief and comfort to the perineal area, which can be beneficial after experiencing bowel discomfort.
C. The client reports pain and has had a small, hard, painful bowel movement. Encouraging oral fluid intake helps prevent dehydration and can soften the stool, making it easier to pass and reducing the risk of constipation.
D. Not necessary or appropriate without further assessment.
E. Not necessary and may not provide any additional benefit in this context.
Correct Answer is B
Explanation
The correct answer is choice b. “I will stop what I am doing and lie down.”
Choice A rationale:
Taking two 325 milligram aspirin tablets at the same time is not the recommended immediate action for chest pain. Aspirin can help in preventing blood clots, but it is not the first step in managing acute angina.
Choice B rationale:
Stopping activity and lying down is the correct initial response to chest pain. This helps reduce the heart’s workload and can alleviate the pain.
Choice C rationale:
Calling the provider after taking one dose of nitroglycerin is important, but it is not the first step. The client should first stop activity and lie down, then take nitroglycerin if prescribed.
Choice D rationale:
Holding the breath and bearing down (Valsalva maneuver) is not appropriate for managing chest pain and can actually increase the heart’s workload, potentially worsening the situation.
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