The nurse is assisting with patients in an orthopedic unit. Which is an important factor to remember when caring for patients after a total hip replacement?

Place three pillows between the legs, one distal and three proximal.

Side-lying position is permitted with a pillow between the legs.

Sitting in a bedside chair is permitted if the legs are elevated.

A triangular pillow is used between the legs to avoid adduction.

Answer and Explanation

The Correct Answer is D

A. Place three pillows between the legs, one distal and three proximal: This is incorrect and excessive. Using three pillows in this manner can lead to improper leg positioning and discomfort.
B. Side-lying position is permitted with a pillow between the legs: While side-lying is allowed, the pillow is to prevent adduction of the legs, not just any pillow placement. It must specifically keep the hips aligned.
C. Sitting in a bedside chair is permitted if the legs are elevated: While sitting is often encouraged, elevating the legs too high can risk hip dislocation or improper alignment. The patient should sit in a way that maintains proper hip angles and alignment.
D. A triangular pillow is used between the legs to avoid adduction: A triangular or abduction pillow helps keep the legs in an appropriate position, preventing the legs from crossing and reducing the risk of hip dislocation post-surgery.

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Correct Answer is B

Explanation

A. Give the patient a glass of water.: Giving the patient water without assessing their swallowing ability can be dangerous due to the risk of aspiration.
B. Check the patient's dysphagia screen.: Assessing for dysphagia is crucial because stroke patients often have impaired swallowing, which increases the risk of aspiration and choking.
C. Consult speech pathology.: Consulting a speech pathologist is important for a comprehensive swallowing assessment, but it is not the immediate action when a patient requests water.
D. Teach that stroke patients are nothing by mouth (NPO).: Not all stroke patients are NPO. This decision is based on the patient's ability to swallow safely, determined by a dysphagia screen.

A. Use a picture board. B. Provide pencil and paper. C. Obtain an interpreter. D. Speak slowly and clearly. E. Speak loudly.

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

Explanation

A. Use a picture board.: A picture board can help patients with expressive aphasia communicate their needs and thoughts visually, bypassing their difficulty with verbal expression.
B. Provide pencil and paper.: Providing pencil and paper allows the patient to write down words or draw pictures, which can facilitate communication.
C. Obtain an interpreter.: An interpreter is not necessary unless the patient has a language barrier in addition to aphasia. Aphasia is a language disorder resulting from brain damage, not a problem with understanding different languages.
D. Speak slowly and clearly.: Speaking slowly and clearly can help the patient understand what is being said, which is important as they may have difficulty processing spoken language.
E. Speak loudly.: Speaking loudly is unnecessary and can be counterproductive. The issue with expressive aphasia is not related to hearing but to the ability to express thoughts through speech.

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The nurse is assisting with patients in an orthopedic unit. Which is an important factor to remember when caring for patients after a total hip replacement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who is diagnosed with a stroke is requesting a glass of water. Which action is appropriate for the nurse to take?

Correct Answer is B

Explanation

The nurse is providing care for a patient with expressive aphasia. Which intervention does the nurse expect to find in the patient's plan of care? (Select all that apply.)

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

Explanation

The nurse is caring for a patient with venous stasis ulcers. What action should the nurse take?

The nurse is caring for a patient with a fracture. Which complications should the nurse monitor for? Select all that apply.

The nurse is teaching a patient with an abdominal aortic aneurysm (AAA) about activity. Which statement made by the patient indicates an understanding of the teaching?

The nurse would evaluate the patient as understanding reinforcement of teaching for peripheral arterial occlusive disease if the patient stated that which of the following is the classic symptom?

A nurse in an outpatient clinic is collecting data from a client who tells the nurse, "I have pain in my legs when I begin to walk, but the pain stops when I stop walking." Which of the following conditions should the nurse suspect?

The nurse is teaching a patient about a thiazide-like diuretic. Which statement made by the patient indicates an understanding of the teaching?

A resident returns to the long-term care center after a right total hip replacement. The nurse should reinforce teaching for maintaining which of the following postoperative leg positions?