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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.71"]
Explanation
To calculate the volume (mL) of the reconstituted medication that the nurse should administer, you can use the following formula:
Volume (mL)=Desired Dose (mg)/Concentration (mg/mL)
In this case:
Volume = 250 mg/350 mg/mL
Now, let's calculate:
Volume = 250 mg/350 mg/mL
Volume=0.71mL
Therefore, the nurse should administer 0.71 mL of the reconstituted ceftriaxone solution to provide the prescribed dose of 250 mg, rounded to the nearest hundredth.
Correct Answer is ["2.1"]
Explanation
To calculate the total daily dose of tobramycin, we use the formula:
- Total Daily Dose (mg) = Dose (mg/kg/day) × Weight (kg)
- Total Daily Dose (mg)=Dose (mg/kg/day)×Weight (kg)
In this case:
- Total Daily Dose=3 mg/kg/day × 85 kg
- Total Daily Dose=255mg/day
Since the total daily dose is divided into three doses, the nurse should administer:
- Dose per Administration =Total Daily Dose/Number of Doses per Day
- Dose per Administration = 255 mg/3
- Dose per Administration≈85mg
Now, to calculate the volume (mL) to administer, we use the concentration of the available tobramycin solution:
- Volume (mL)=Dose per Administration (mg)/Concentration (mg/mL)
In this case:
- Volume=85mg/40mg/mL
- Volume≈2.1mL
Therefore, the nurse should administer approximately 2.1 mL of tobramycin per dose, rounded to the nearest tenth.
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