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 A

Explanation

A. Correct. Isosorbide dinitrate is a medication used to prevent angina. Headaches are a common side effect when starting the medication, but they often decrease over time as the body adjusts.
B. Incorrect. Swallowing the tablet whole will not necessarily minimize headaches associated with isosorbide dinitrate.
C. Incorrect. Taking the medication on an empty stomach is not typically necessary to prevent headaches.
D. Incorrect. Discontinuing the medication without consulting a healthcare provider is not recommended, as abrupt discontinuation could lead to worsening of symptoms.

A. Incident report B. Nursing care plan C. Provider's progress notes D. Controlled substance inventory record

Correct Answer is A

Explanation

A. Correct. An incident report should be completed for any unintended event or situation that could have resulted or did result in harm to a patient. Administering the wrong dose of medication falls under this category.

B. Incorrect. The nursing care plan is a comprehensive outline of a patient's care needs and interventions and is not the appropriate place to document a medication error.

C. Incorrect. The provider's progress notes are meant to document the patient's condition, care, and progress, but they are not used to document medication errors.

D. Incorrect. The controlled substance inventory record is used to track the dispensing and administration of controlled substances, not to document medication errors.

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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

A nurse is caring for a client who reports he has headaches after taking chewable isosorbide dinitrate. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is caring for a client who has a prescription for acetaminophen 300 mg with codeine 30 mg, 1 tablet every 3 to 4 hr. PRN for pain. The nurse inadvertently administered 2 tablets to the client. In which of the following locations should the nurse document this client care incident?

Correct Answer is A

Explanation

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