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 B
Explanation
A) Premature ventricular contraction: A premature ventricular contraction (PVC) typically presents as an early heartbeat originating from the ventricles, often accompanied by a wide QRS complex. The heart rate in this case is regular at 69/min, and there is no indication of early beats, making this option unlikely.
B) First-degree AV block: A first-degree AV block is characterized by a prolonged PR interval greater than 0.20 seconds, which is noted at 0.24 seconds in this scenario. This indicates a delay in conduction through the AV node. While the heart rate is normal, the prolonged PR interval clearly suggests a first-degree AV block.
C) Atrial fibrillation: Atrial fibrillation typically presents with an irregularly irregular rhythm and variable heart rates. The client’s heart rate of 69/min is regular, and there is no mention of an irregular pulse or varying R-R intervals, making atrial fibrillation an unlikely diagnosis in this case.
D) Sinus bradycardia: Sinus bradycardia is defined as a heart rate of less than 60 beats per minute and is characterized by a normal PR interval. In this situation, the heart rate is 69/min, which does not meet the criteria for bradycardia, thus ruling out this option.
Correct Answer is A
Explanation
A. Negative clonus: Monitoring for a negative clonus is appropriate as it indicates effective control of neuromuscular excitability and seizure prevention in clients receiving magnesium sulfate for preeclampsia. A negative clonus response suggests that the magnesium sulfate is effectively managing the risk of seizures.
B. BP 150/92 mm Hg: While blood pressure management is important in preeclampsia, a blood pressure of 150/92 mm Hg indicates hypertension, which is not a desired therapeutic effect when managing preeclampsia with magnesium sulfate.
C. Pulse rate 100/min: A pulse rate of 100/min is not a specific therapeutic effect of magnesium sulfate and can indicate tachycardia, which might require further evaluation rather than being a target for monitoring.
D. Flushed face: A flushed face may occur as a side effect of magnesium sulfate infusion, but it is not a therapeutic effect. It does not indicate that the medication is working to control the symptoms of preeclampsia.
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