A nurse is reviewing the prescriptions for a client who is postoperative following a total hip arthroplasty. Which of the following prescriptions should the nurse clarify with the provider?
Instruct the client to limit flexion of the hips no further than 100".
Perform range-of-motion exercises every 2 hr.
Reposition the client every 2 hr.
Place an abduction pillow between the legs.
The Correct Answer is A
A. Limiting hip flexion to 100" is an incorrect and potentially unsafe prescription. Such a restriction would severely limit the client's mobility and could impede the recovery process following a total hip arthroplasty. The nurse should clarify this prescription with the provider to ensure that the client is given appropriate instructions for postoperative care.
B. Performing range-of-motion exercises every 2 hours is a standard and appropriate prescription for a postoperative client after a total hip arthroplasty. These exercises help prevent joint stiffness and promote circulation.
C. Repositioning the client every 2 hours is a standard practice to prevent complications such as pressure ulcers and promote comfort and circulation.
D. Placing an abduction pillow between the legs is a common practice after a total hip arthroplasty. It helps maintain proper hip alignment and prevents dislocation of the prosthetic hip joint during the initial postoperative period.
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Related Questions
Correct Answer is ["4"]
Explanation
To calculate the volume (mL) that the nurse should administer per dose, you can use the following formula:
- Volume (mL) = Dose (units)/Concentration (units/mL)
In this case:
- Volume = 400,000 units/100,000 units/mL
- Volume=4mL
Therefore, the nurse should administer 4 mL of Mycostatin oral suspension per dose.
Correct Answer is ["C","D"]
Explanation
A. "I should wait until I am terminally ill to complete my advance directives."
This statement is incorrect. It is advisable to complete advance directives before a critical or terminal illness occurs to ensure that one's preferences are known and respected in the event of incapacity.
B. "I must name a relative to make decisions for me in my health care proxy."
This statement is incorrect. While naming a relative is a common choice, individuals can choose any competent person as their healthcare proxy, and it does not have to be a family member.
C. "I can state in my living will which medical treatments I want done if I am terminally ill."
This statement is correct. A living will allows individuals to specify the medical treatments they wish to receive or avoid in the event they become terminally ill or incapacitated.
D. "I will make changes to my advance directives if I change my mind about anything."
This statement is correct. Advance directives are not permanent and can be changed or updated if the individual's preferences or circumstances change.
E. "I will need to complete a new living will each time I am hospitalized."
This statement is incorrect. Advance directives, including living wills, are generally not tied to a specific hospitalization. They remain in effect unless the individual chooses to update or change them.
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