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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.
 


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Related Questions

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

Explanation

  • Request an antiemetic medication: Contraindicated
    • Rationale: Antiemetic medications are not typically required unless the client is experiencing nausea or vomiting, which is not indicated in this scenario.
  • Encourage the client to cough and deep breathe every 2 hr: Indicated
    • Rationale: Encouraging coughing and deep breathing helps prevent respiratory complications such as pneumonia, which is important postoperatively.
  • Ensure an abductor pillow is in place while the client is in bed: Indicated
    • Rationale: An abductor pillow helps maintain proper hip alignment and prevents dislocation of the hip joint after surgery.
  • Anticipate the administration of antibiotics: Indicated
    • Rationale: Administering antibiotics helps prevent infection, which is a common concern after surgical procedures.
  • Obtain a culture of the drainage from the surgical site: Indicated
    • Rationale: Obtaining a culture of the drainage can help identify any potential infections and guide appropriate treatment.

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.

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