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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. Taking doxycycline with calcium-fortified orange juice can reduce the absorption of the medication, as calcium can interfere with its absorption.
B. Incorrect. Taking the medication with an antacid can also interfere with the absorption of doxycycline by reducing stomach acidity.
C. Correct. Taking the medication with crackers or a small snack can help alleviate nausea and vomiting that can occur with doxycycline.
D. Incorrect. Lying down after taking the medication may increase the risk of gastric upset and nausea.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
Explanation
The nurse should first anticipate the need to withhold oral intake then assess the client's vital signs.
Given the client’s symptoms of gnawing abdominal pain, dark tarry stools (indicating possible gastrointestinal bleeding), and pain worsened by eating, withholding oral intake is crucial to prevent further irritation or complications, especially before an endoscopic procedure. This helps avoid complications such as aspiration or exacerbating gastrointestinal issues. After ensuring that oral intake is managed appropriately, the nurse should then assess the client's vital signs to monitor for signs of hemodynamic instability or further deterioration, which can provide critical information about the client's current condition and guide further interventions.
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