A nurse is reviewing home recommendations with a client who is postoperative following knee surgery. Which of the following recommendations should the nurse make?
Ensure that all area rugs are rubber-backed.
Wear slippers with cloth soles.
Place a towel on the floor outside of the shower.
Place a handrail in the entryway of the house.
The Correct Answer is A
A) Ensure that all area rugs are rubber-backed: Rubber-backed rugs help prevent slips and falls by keeping the rugs securely in place on the floor. This is particularly important for someone recovering from knee surgery to avoid additional injury and ensure a safe home environment.
B) Wear slippers with cloth soles: Slippers with cloth soles can be slippery and increase the risk of falls. It is safer to wear slippers with non-slip soles to provide better traction and stability.
C) Place a towel on the floor outside of the shower: Placing a towel on the floor can create a slipping hazard. Instead, using a non-slip bath mat outside the shower is recommended to prevent falls.
D) Place a handrail in the entryway of the house: While placing a handrail in the entryway can be beneficial, it is not as immediately critical as ensuring that area rugs are rubber-backed to prevent falls throughout the home. Handrails are more commonly recommended for stairs and bathrooms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Increased calcium levels are typically not expected in clients with chronic kidney disease (CKD). In fact, CKD often leads to decreased calcium levels due to impaired renal function, which affects vitamin D metabolism and calcium absorption.
B) Increased bicarbonate levels would suggest a metabolic alkalosis, which is not common in CKD. Clients with CKD often experience metabolic acidosis due to the kidneys' inability to excrete hydrogen ions effectively, leading to decreased bicarbonate levels.
C) Increased hemoglobin levels are not expected in CKD; rather, clients often experience anemia due to decreased erythropoietin production by the kidneys. Therefore, hemoglobin levels are typically low in individuals with chronic kidney disease.
D) Increased creatinine is a hallmark finding in chronic kidney disease. It indicates a decline in kidney function, as creatinine is a waste product that is normally excreted by the kidneys. Elevated creatinine levels reflect the kidneys' reduced ability to filter and excrete waste, which is characteristic of CKD.
Correct Answer is D
Explanation
A) Acetaminophen: While acetaminophen can be effective for mild to moderate pain relief, it may not be the most appropriate choice for abdominal pain associated with cholelithiasis. Opioids or nonsteroidal anti-inflammatory drugs (NSAIDs) like ketorolac are typically more effective for this type of pain.
B) Omeprazole: This medication is a proton pump inhibitor used primarily for reducing gastric acid secretion and is not indicated for pain management. It does not address the pain caused by cholelithiasis.
C) Metoclopramide: This medication is an antiemetic and prokinetic agent that may help with nausea and vomiting, but it does not directly alleviate pain. It would not be the first choice for pain management in this situation.
D) Ketorolac: This NSAID is effective for managing moderate to severe pain and is suitable for the type of pain associated with cholelithiasis. It has anti-inflammatory properties that can provide significant relief, making it the best option for the client's current symptoms.
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