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 B

Explanation

Venous thromboembolism refers to the formation of blood clots in the veins, which can lead to serious complications such as pulmonary embolism. After surgery, immobility and reduced activity can increase the risk of developing blood clots. Therefore, it is crucial to prioritize measures to prevent venous thromboembolism, such as early mobilization, compression stockings, and anticoagulant medications, to ensure the patient's safety and well-being.

A. Neutrophils: 3,000mm (3,000 to 5,800mm) B. WBC: 14,000/mm (5,000-10,000/mm) C. RBCs: 42 million/mm (4,000 to 55 million/mm) D. Lactic acid level: 0.5 mmol/L (normal: 0.5 mmol/L

Correct Answer is B

Explanation

In a child with acute appendicitis, it is common to observe an elevated white blood cell count (WBC) as a response to the infection or inflammation associated with the condition. The neutrophil count may be within the lower end of the normal range or slightly decreased, as it can be affected by the severity and duration of the appendicitis. The red blood cell count (RBC) appears to be within the normal range. The lactic acid level is normal, indicating no significant metabolic acidosis.

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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

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