An older patient who had knee replacement surgery 2 days ago can only tolerate being out of bed with physical therapy once a day. Which problem should the nurse identify as a priority for this patient?

Potential complication, Fluid and electrolyte imbalance

Potential complication: venous thromboembolism

Potential complication: Impaired surgical wound healing

Potential complication: hypovolemic shock

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is ["A","B","E"]

Explanation

Small bowel obstruction can lead to the accumulation of gastric contents above the obstruction, causing vomiting.

Obstruction of the small bowel can result in crampy, colicky abdominal pain and abdominal distention.

Electrolyte imbalances, such as hypokalemia (low potassium), can occur due to vomiting and inadequate intake in cases of small bowel obstruction.

The following finding is not directly associated with small bowel obstruction:

Pain relief after eating is more commonly associated with peptic ulcer disease, not small bowel obstruction.

While blood in the stool can be seen in some cases of bowel obstruction, it is more commonly associated with lower gastrointestinal bleeding or other conditions affecting the colon, rather than small bowel obstruction.

A. I can use a cool air dryer to help circulate air to relieve the itch. B. I can use a hot air dryer to help circulate air to relieve the itch. C. "I can use a damp towel to trickle water into the cast to relieve the Itch." D. "I can use a plastic hanger to slide into the cast to relieve the Itch."

Correct Answer is A

Explanation

This statement demonstrates an understanding of proper cast care for itch relief. Using a cool air dryer on a low setting can help circulate air and provide relief from itching under the cast. It is important not to use a hot air dryer as it may cause discomfort, skin irritation, or burn. Trickling water or inserting objects into the cast can lead to moisture accumulation and potential complications.

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An older patient who had knee replacement surgery 2 days ago can only tolerate being out of bed with physical therapy once a day. Which problem should the nurse identify as a priority for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted with a small bowel (small intestine) obstruction. Which assessment findings are consistent with this diagnosis? SELECT ALL THAT APPLY

Correct Answer is ["A","B","E"]

Explanation

A 5-year-old with an arm cast from a fractured wrist complains of itching under his cast. The nurse knows cast care teaching for the parent has been successful when the parent states:

Correct Answer is A

Explanation

A client is admitted with Diabetic Ketoacidosis (DKA). The client asks the nurse "Why did this happen? I have been taking my insulin as prescribed and following my diet carefully" The nurse reviews the client's chart and realizes that this emergency may be related to which common causes of DKA?

A client is admitted with protein-calorie malnutrition and is receiving supplemental feedings through a naso-duodenal tube. Which assessment finding indicates that the client's nutritional status is improving?

Which symptom is most indicative of pneumonia in a 6-year old child?

In order to prevent dumping syndrome after Gastric Bypass surgery, the nurse will instruct the client to....

Antacids will help reduce the heart burn symptoms associated with gastro-esophageal reflux by ...

An older patient who had knee replacement surgery 2 days ago can only tolerate being out of bed with physical therapy once a day. Which problem should the nurse identify as a priority for this patient?

The nurse is providing care to several patients in an outpatient clinic. Which patient is at highest risk of developing gastroesophageal reflux disorder (GERD)?