Clinical Scenario:

A nurse is assessing a patient who is 2 plays post-total hip arthroplasty (THA). The patient reports sudden severe hip pain while repositioning in bed. Upon examination, the nurse notes that the affected leg appears shortened and externally rotated.

Which additional finding would confirm that the patient has experienced a hip dislocation?

Increased hip range of motion and absence of pain

Reports of hearing a "pop" at the time of pain onset

Ability to bear weight on the affected leg without discomfort

Symmetric leg length with normal alignment

Answer and Explanation

The Correct Answer is B

A. Increased hip range of motion and absence of pain. A hip dislocation causes severe pain and reduced mobility, not increased range of motion. This option is incorrect.

B. Reports of hearing a "pop" at the time of pain onset. A "popping" sound often occurs when the prosthetic hip dislocates from the joint, making this a key symptom of hip dislocation.

C. Ability to bear weight on the affected leg without discomfort. A hip dislocation causes severe pain and functional impairment, making weight-bearing extremely difficult or impossible.

D. Symmetric leg length with normal alignment. A dislocated hip causes the affected leg to appear shortened and externally rotated, so symmetrical leg length would not be expected.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Apply an antibiotic ointment and reassess in two weeks. SCC is a form of skin cancer and requires biopsy for diagnosis. Simply applying an antibiotic and waiting could delay necessary treatment.

B. Refer the patient to a dermatologist for a biopsy. The priority action for a suspicious lesion that does not heal is to refer the patient for biopsy and further evaluation, as early detection and treatment of SCC are crucial.

C. Reassure the patient that the lesion is benign and monitor for changes. SCC can be aggressive if untreated, and assuming benignity without biopsy could result in delayed diagnosis and worsening prognosis.

D. Educate the patient on proper wound care and sun protection. While wound care and sun protection are important, the priority is obtaining a definitive diagnosis through biopsy.

A. “I should eat more red meats and seafood to help strengthen my joints." B. “I need to drink plenty of water and limit alcohol consumption to reduce uric acid buildup." C. “Taking aspirin regularly will help lower my risk of future gout attacks." D. "Dairy products and high-fat foods will help prevent uric acid accumulation.”

Correct Answer is B

Explanation

A. "I should eat more red meats and seafood to help strengthen my joints." Red meats and seafood are high in purines, which increase uric acid levels and can trigger gout attacks. Patients should limit their intake of these foods.

B. "I need to drink plenty of water and limit alcohol consumption to reduce uric acid buildup." Staying hydrated helps flush excess uric acid from the body, and reducing alcohol consumption, especially beer and spirits, can help prevent flare-ups.

C. "Taking aspirin regularly will help lower my risk of future gout attacks." Aspirin can increase uric acid levels and may worsen gout symptoms. Patients should consult their provider before using aspirin regularly.

D. "Dairy products and high-fat foods will help prevent uric acid accumulation." While low-fat dairy products may help reduce uric acid levels, high-fat foods do not provide the same benefit and may contribute to weight gain, which is a risk factor for gout.

View Question and Answer

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A patient is diagnosed with gout and asks the nurse how to prevent future flare-ups. Which statement by the patient indicates a correct understanding of dietary modifications for gout management?

Correct Answer is B

Explanation

A nurse is providing initial emergency care for a client with extensive burns. Which of the following interventions should the nurse perform first?

A nurse is providing teaching for a client who is postoperative following below-the-knee amputation. The nurse should instruct the client that which of the following nutrients is necessary for wound healing?

A 40-year-old male patient presents with partial-thickness burns affecting the anterior right arm, anterior trunk, and anterior right leg and anterior left leg. Based on the Rule of Nines, what percentage of the total body surface area (TBSA) is burned?

A nurse is caring for a client who is postoperative following an open reduction and internal fixation of a fractured femur. Which of the following actions is the most important for the nurse to complete in the postoperative period?

A nurse is caring for a client who is scheduled for an arthroplasty. The nurse asks client to state if he understands the procedure that is being performed. Which of the following statements by the client indicates an understanding of the procedure?

A nurse is reviewing the medical record of a patient diagnosed with Stevens-Johnson Syndrome (SJS). Which of the following findings should the nurse identify as the most likely cause of this condition?

A nurse is assessing a patient who has sustained a burn injury. The affected area is dry, white, and charred, with no pain present. Based on the classification of burns, the nurse understands this burn is:

A nurse is providing discharge teaching to a caregiver about preventing pressure ulcers in a bedridden patient. Which statement by the caregiver indicates a need for further teaching?