A patient with osteoarthritis is scheduled for a total knee arthroplasty. The nurse identifies that the surgery will be postponed if the patient experiences which condition?
Chronic joint inflammation
Pain
Infection
Immobility
The Correct Answer is C
A. Chronic joint inflammation is a common feature of osteoarthritis, but it does not necessarily preclude surgery. In fact, joint inflammation is often a reason for considering a total knee arthroplasty.
B. Pain is a typical symptom of osteoarthritis, but it is not a reason to postpone surgery. Pain management can be addressed during the perioperative period.
C. Infection is a critical factor that would delay surgery. If the patient has an active infection, particularly in the joint or surrounding tissues, the risk of spreading the infection during surgery is high, and the procedure would need to be postponed until the infection is resolved.
D. Immobility is a concern for postoperative recovery but does not typically delay surgery. Physical therapy and rehabilitation can address immobility after the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Ecchymosis (bruising) of the surrounding skin is a common finding in fractures and is related to bleeding under the skin. While it is a sign of trauma, it does not specifically indicate impaired venous return.
B. Increasing edema is a key sign of impaired venous return. When the veins are not effectively draining blood, fluid accumulates in the tissues, causing swelling. This is a critical sign of venous insufficiency or compromised circulation.
C. Acute pain is a common symptom of fractures, but it is not directly related to impaired venous return. Pain is typically associated with the injury itself, not with circulatory issues.
D. An abounding distal pulse suggests that blood is still flowing to the affected area, indicating that arterial circulation is intact. Impaired venous return typically does not affect the pulse directly but rather causes swelling and other signs of venous congestion.
Correct Answer is A
Explanation
A. An S3 heart sound is known as a ventricular gallop and occurs during the rapid filling phase of the ventricle in early diastole. It is commonly heard in conditions like heart failure, where the ventricles are overfilled, or in younger individuals with healthy hearts.
B. The closure of the pulmonic valve occurs at the end of systole and is associated with the second heart sound (S2), not S3.
C. An atrial gallop is represented by an S4 sound, which occurs just before S1 when the atria contract to fill the ventricles.
D. The closure of the mitral valve occurs during S1, not S3, and marks the beginning of systole.
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