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. Assessing whether the client has a plan for self-harm is a priority in evaluating the immediate risk of suicide. If a plan is present, further assessment and intervention are needed.
B. Incorrect. While having support is important, knowing whether the client has a plan for self-harm takes precedence.
C. Incorrect. While a family history of suicide is a risk factor, it is not as immediate a concern as determining whether the client has a current plan.
D. Incorrect. Assessing the sources of stress is important, but the immediate risk of self-harm takes priority.

A. "Take an antacid if the medication causes gastrointestinal upset." B. "Restrict your daily fluid intake while taking this medication." C. "This medication can increase your risk for sunburn." D. "Expect to experience diarrhea while taking this medication."

Correct Answer is C

Explanation

Ciprofloxacin is a fluoroquinolone antibiotic that can make the skin more sensitive to sunlight, leading to an increased risk of sunburn. It is important for the client to be aware of this potential side effect and take appropriate precautions, such as using sunscreen, wearing protective clothing, and avoiding prolonged sun exposure while taking the medication.

"Take an antacid if the medication causes gastrointestinal upset." Ciprofloxacin should not be taken with antacids or mineral supplements containing calcium, magnesium, aluminum, or iron, as they can interfere with the absorption of the medication. If the client experiences gastrointestinal upset, they should consult their healthcare provider for appropriate management.

"Restrict your daily fluid intake while taking this medication." It is important for the client to maintain adequate hydration while taking ciprofloxacin, as it is important for the elimination of the medication from the body. Restricting fluid intake can lead to dehydration and may affect the effectiveness of the medication. The client should be encouraged to drink plenty of fluids unless otherwise instructed by their healthcare provider.

"Expect to experience diarrhea while taking this medication." While gastrointestinal side effects such as diarrhea can occur with ciprofloxacin, it is not appropriate to state that the client should expect to experience it. Diarrhea can be a sign of a serious adverse reaction, such as Clostridium difficile infection, and should be reported to the healthcare provider for further evaluation and management.

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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?

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Naxlex Comprehensive Predictor Exams

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