An older adult client is admitted for repair of a broken hip. To reduce the risk for infection in the postoperative period, what nursing care intervention(s) should the nurse include in the client's plan of care? Select all that apply.

Maintain sequential compression devices while in bed.

Teach client to use incentive spirometer every 2 hours while awake.

Assess pain level and medicate PRN as prescribed.

Remove urinary catheter as soon as possible and encourage voiding.

Administer low molecular weight heparin as prescribed.

Answer and Explanation

Correct Answer : B,D

SCDs are effective for preventing DVT but are not directly related to infection prevention. The focus here is more on preventing respiratory and urinary infections.

B.   Teaching the client to use an incentive spirometer every 2 hours while awake helps prevent
atelectasis and pneumonia by promoting deep breathing and lung expansion, reducing the risk of respiratory infections.
C.   Assessing pain level and medicating PRN as prescribed is important for postoperative comfort but is not directly related to reducing the risk of infection.
D.   Removing the urinary catheter as soon as possible and encouraging voiding helps reduce the risk of urinary tract infections, which are common in clients with prolonged catheter use.
E.   Low molecular weight heparin helps prevent blood clots, reducing the risk of thrombosis, which can increase the risk of postoperative complications, including infections.

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Correct Answer is B

Explanation

A. Aspiration: While aspiration precautions may be necessary in certain situations, elevated parathyroid hormone levels are not typically associated with an increased risk of aspiration.
B. Falls: Elevated parathyroid hormone levels can lead to hypercalcemia, which may cause weakness, confusion, and increased risk of falls due to muscle weakness and altered mental status.
C. Suicide: While mental health assessment and intervention may be important for overall patient care, elevated parathyroid hormone levels do not directly increase the risk of suicide.
D. Hypothermia: Elevated parathyroid hormone levels are not typically associated with an increased risk of hypothermia. Hypercalcemia may lead to dehydration and electrolyte
imbalances, but hypothermia is not a common complication.

A. Begin with questions that are less sensitive in nature. B. Ask questions in a vague, nonspecific format. C. Share personal values to put the client at ease. D. Get the most difficult questions over with first.

Correct Answer is A

Explanation

A. Begin with questions that are less sensitive in nature: This approach allows the client to gradually build trust with the nurse and may make them more comfortable in disclosing sensitive information.
B. Ask questions in a vague, nonspecific format: This approach may lead to confusion and may not effectively elicit relevant information from the client.
C. Share personal values to put the client at ease: While building rapport is important, sharing
personal values may not be appropriate in this situation as it can influence the client's responses.
D. Get the most difficult questions over with first: This approach may overwhelm the client and may not be conducive to effective communication.

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An older adult client is admitted for repair of a broken hip. To reduce the risk for infection in the postoperative period, what nursing care intervention(s) should the nurse include in the client's plan of care? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with elevated parathyroid hormone levels. Which safety precaution should the nurse include in the plan of care?

Correct Answer is B

Explanation

A client presents to the emergency department (ED reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

Correct Answer is A

Explanation

Exhibits What should the nurse include in post discharge care education? Select all that apply.

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