How it Works
Try Naxlex NCLEX-RN (Free-Trial)

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?

A.

Chronic joint inflammation

B.

Pain

C.

Infection

D.

Immobility

Answer and Explanation

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.
 


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is D

Explanation

A. Bicarbonate is important to monitor in conditions like metabolic acidosis or alkalosis, but it is not the primary laboratory value to monitor for a client on furosemide.
B. Albumin levels are important to monitor for nutritional status or liver function but are not directly impacted by furosemide use.
C. Cortisol levels are not typically affected by furosemide. Cortisol is more relevant in conditions like Cushing's syndrome or adrenal insufficiency.
D. Potassium is the primary laboratory value to monitor when a client is on furosemide, a loop diuretic. Furosemide increases the excretion of potassium, which can lead to hypokalemia. This can cause serious cardiac and muscular complications, so regular monitoring of potassium levels is crucial.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"B"}}

Explanation

Improved:

  • Blood Pressure: Improved from 148/88 mmHg to 130/74 mmHg.
  • Jugular Venous Distention: Improved, now absent.
  • Lung sounds: Improved, now clear bilaterally.
  • Serum Potassium: Improved from 5.7 mEq/L to 4.4 mEq/L.
  • Weight: Improved from 102.7 kg (226 lb.) to 100 kg (220 lb.).

No change:

  • Dyspnea: No change, still observed on exertion.
  • Oxygen saturation: No change, remains at 95% on room air.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register