A nurse is reinforcing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?

"A heating pad will be used on the operative site to help reduce pain."

"Expect to remain in bed for at least the first 24 hours."

"You will use a continuous passive motion (CPM) machine several times a day."

"You will use a special soap to shower with the evening before your surgery."

Answer and Explanation

The Correct Answer is C

Choice A reason: The use of a heating pad on the operative site is not typically recommended immediately post-surgery due to the risk of bleeding and swelling.

Choice B reason: Patients are encouraged to mobilize as soon as possible after surgery to prevent complications such as deep vein thrombosis and pulmonary embolism.

Choice C reason: The use of a CPM machine is common after total hip replacement surgery to help restore joint function and prevent stiffness.

Choice D reason: Using a special soap the evening before surgery is part of the preoperative preparation to reduce the risk of infection.

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Correct Answer is C

Explanation

Choice A reason: Petechiae are small red or purple spots caused by bleeding into the skin, typically not directly associated with anemia.

Choice B reason: Glossitis, which is inflammation of the tongue, can be associated with certain types of anemia but is not specifically related to the low hemoglobin level itself.

Choice C reason: Exertional dyspnea, or difficulty breathing upon exertion, is a common symptom of severe anemia due to the reduced oxygen-carrying capacity of the blood.

Choice D reason: Palpitations, or feeling that the heart is racing or fluttering, can occur in severe anemia as the heart attempts to compensate for the lack of oxygen in the blood.

A. Mood and affect B. Memory C. Judgment D. Mood and tone E. Level of awareness and orientation

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: Mood and affect are essential components of the mental health status examination, reflecting the patient's emotional state and its expression.

Choice B reason: Memory is a cognitive function that is assessed during the mental health status examination to determine if there are any deficits.

Choice C reason: Judgment is evaluated to understand the patient's decision-making abilities, which can be affected in various mental health conditions.

Choice D reason: "Mood and tone" is not a standard component of the mental health status examination. The term "tone" typically refers to the quality of voice or speech.

Choice E reason: Level of awareness and orientation are assessed to determine the patient's consciousness level and their awareness of time, place, and person.

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A nurse is reinforcing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with severe anemia and a hemoglobin level of 4 g/dL. Which clinical manifestation will the nurse expect the patient to exhibit?

Correct Answer is C

Explanation

The mental health status examination includes (select all that apply):

Correct Answer is ["A","B","C","E"]

Explanation

The nurse is collecting admission data on a new patient with a long health history. Which of the following life events is considered a stressor?

A primary mechanism used by people with personality disorders is:

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Mr. S states, "Look at the snakes on the ceiling!" You see some cracks in the plaster. Mr. S is experiencing a/an:

A nurse is assisting with the plan of care for a client who is newly diagnosed with borderline personality disorder. Which of the following interventions is the nurse's priority?

Nursing care for people with personality disorders includes all the following except: