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 D

Explanation

Choice A reason: Respiratory depression is not a typical finding associated with anemia; it is more related to respiratory or central nervous system issues.

Choice B reason: Intense abdominal pain is not a common symptom of anemia and would likely indicate other medical conditions.

Choice C reason: Bradycardia, or slow heart rate, is not commonly associated with anemia. Anemia usually causes tachycardia, or a fast heart rate, as the body attempts to compensate for the reduced oxygen-carrying capacity of the blood.

Choice D reason: Dyspnea on exertion is a common symptom of anemia, as the reduced number of red blood cells leads to decreased oxygen delivery to the tissues, causing shortness of breath during activities.

A. Protecting the client from self-harm behavior. B. Providing strategies for redirecting violent behavior. C. Exploring reasons for her behavior. D. Encouraging the client to talk about her feelings.

Correct Answer is A

Explanation

Choice A reason: For a client with borderline personality disorder, the priority is to ensure safety, which includes protecting them from self-harm behavior, as they may have impulsive tendencies that can lead to self-injury.

Choice B reason: While providing strategies for redirecting violent behavior is important, it is secondary to ensuring the client's immediate safety.

Choice C reason: Exploring reasons for behavior is a therapeutic intervention that can help in the long term but is not the immediate priority.

Choice D reason: Encouraging the client to talk about their feelings is part of ongoing therapy but does not take precedence over ensuring the client's safety.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has anemia due to excessive blood loss during surgery. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

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?

Correct Answer is A

Explanation

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