A patient is being discharged 4 days after hip arthroplasty using the posterior approach. Which patient action requires intervention by the nurse?

The patient uses crutches with a swing-to gait.

The patient sits straight up on the edge of the bed.

the patient bends over the sink while brushing teeth.

The patient leans forward to pull on shoes and socks

Answer and Explanation

The Correct Answer is C

The patient bending over the sink while brushing teeth requires intervention by the nurse. After hip arthroplasty using the posterior approach, the patient should avoid bending at the hip greater than 90 degrees to prevent dislocation of the prosthesis. The nurse should instruct the patient to bend at the knees instead of the hips while brushing teeth or doing any other activity that requires bending. The other actions mentioned in the options are appropriate for a patient after hip arthroplasty.

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Correct Answer is A

Explanation

The lower esophageal sphincter (LES) is a muscular ring located between the esophagus and stomach. Its function is to prevent the backflow of stomach acid and contents into the esophagus. In GERD, the LES becomes weak or relaxed, allowing stomach acid to flow back up into the esophagus, leading to symptoms such as heartburn, regurgitation, and chest pain.

A. "Have additional receptors in the colon that prevents transfer of the disease to others” B. "Do not have blood pressures within normal limits when the small bowel encounters salt products." C. "Have an increased risk of aspiration with the additional mucus produced in the small bowel” D. "Do not have proper absorption of nutrients when the small bowel encounters the protein gluten.”

Correct Answer is D

Explanation

Celiac disease is an autoimmune disorder characterized by an abnormal immune response to gluten, a protein found in wheat, barley, and rye. When individuals with celiac disease consume gluten, their immune system reacts by damaging the lining of the small intestine, specifically the villi. The damaged villi are unable to effectively absorb nutrients from food, leading to malabsorption and a variety of symptoms.

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A patient is being discharged 4 days after hip arthroplasty using the posterior approach. Which patient action requires intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is explaining the alteration in normal function to a patient recently diagnosed with gastroesophageal reflux disease (GERD). Which etiology contributing to GERD does the nurse include in the teaching session?

Correct Answer is A

Explanation

A student nurse correctly explains the pathophysiology of celiac when it is stated that patients who have celiac disease:

Correct Answer is D

Explanation

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