A nurse is reinforcing teaching with a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?

Perform range of motion by adducting the hip.

Sit in a straight-backed chair.

Cleanse the surgical incision with hydrogen peroxide.

Apply moist heat to the incision while in bed.

Answer and Explanation

The Correct Answer is B

Choice A reason: Performing range of motion by adducting the hip is an incorrect instruction for a client who had a total hip arthroplasty. Adduction is moving the leg toward the midline of the body, which can cause dislocation of the prosthesis. The nurse should instruct the client to perform range of motion by abducting (moving away from midline), flexing (bending), and extending (straightening) the hip as prescribed by physical therapy.

Choice B reason: Sitting in a straight-backed chair is a correct instruction for a client who had a total hip arthroplasty. This position helps to maintain proper alignment and stability of the hip joint and prevents excessive flexion or rotation that can cause dislocation. The nurse should also instruct the client to avoid crossing legs, bending forward more than 90 degrees, or twisting at the waist.

Choice C reason: Cleansing the surgical incision with hydrogen peroxide is an incorrect instruction for a client who had a total hip arthroplasty. Hydrogen peroxide is a harsh agent that can damage healthy tissue and delay healing. The nurse should instruct the client to cleanse the incision with mild soap and water or as directed by the provider and keep it dry and covered with sterile dressing.

Choice D reason: Applying moist heat to the incision while in bed is an incorrect instruction for a client who had a total hip arthroplasty. Moist heat can increase swelling, inflammation, and infection risk at the incision site. The nurse should instruct the client to apply ice packs or cold compresses to the incision as needed to reduce pain and swelling.

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Free Nursing Study Resources

Correct Answer is ["1000"]

Explanation

To lose 0.9 kg (2 lb) of body fat per week, the client needs to create a weekly caloric deficit of 7,000 calories (3,500 x 2).

This means that the client needs to consume 7,000 calories less than he burns in a week.

To achieve this, the client needs to reduce his daily caloric intake by 1,000 calories (7,000 / 7).

For example, if the client normally consumes 2,500 calories per day, he should reduce it to 1,500 calories per day.

A. Limit fluid intake during meals. B. Eat lighter, low-calorie foods first. C. Consume three regular meals daily. D. Eliminate dairy products.

Correct Answer is A

Explanation

Choice A reason: This is the correct answer because limiting fluid intake during meals can prevent early satiety or fullness and allow more room for solid foods that provide calories and nutrients. The nurse should instruct the client to drink fluids between meals rather than with meals.

Choice B reason: This is not a correct instruction because eating lighter, low-calorie foods first can reduce the appetite and energy intake of the client who has COPD and little appetite. The nurse should instruct the client to eat higher-calorie, higher-protein foods first and supplement with snacks or nutritional drinks as needed.

Choice C reason: This is not a correct instruction because consuming three regular meals daily can be difficult or impractical for the client who has COPD and little appetite. The nurse should instruct the client to eat smaller, more frequent meals throughout the day and avoid eating within 1 hour before or after using bronchodilators.

Choice D reason: This is not a correct instruction because eliminating dairy products can deprive the client of calcium, vitamin D, and protein that are essential for bone and muscle health. The nurse should instruct the client to include dairy products in their diet unless they have lactose intolerance or allergy.

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A nurse is reinforcing teaching with a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1000"]

Explanation

A nurse is reinforcing teaching with a client who has COPD and reports shortness of breath and little appetite. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

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