The nurse is evaluating the client's understanding of discharge instructions after a total hip replacement. The nurse asks the client what type of seating should be used. The client's correct response should be a:

Soft, low sofa.

Dining room chair with armrests.

Canvas lawn chair.

Desk type, swivel chair.

Answer and Explanation

The Correct Answer is B

A. A soft, low sofa can make it difficult for the client to rise and sit safely after surgery, which may risk hip dislocation.
B. A dining room chair with armrests provides support for the client to help them sit down and stand up safely, making this the most appropriate choice.
C. A canvas lawn chair typically does not provide adequate support or height, which can complicate the sitting and standing process post-surgery.
D. A desk type, swivel chair may not be stable or supportive enough for the client, increasing the risk of falls or injury after the hip replacement.

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Correct Answer is B

Explanation

A. While a diet of soft foods and liquid protein may be beneficial for a client undergoing chemotherapy, it is not the most critical intervention related to thrombocytopenia. Nutritional needs can be managed but do not address the immediate risk of bleeding or injury.
B. Teaching safety in the home to reduce injury and falls is the most important intervention. Clients with thrombocytopenia have a significantly increased risk of bleeding and bruising, making it essential to prevent falls and injuries that could lead to serious complications.
C. Spacing activities throughout the day can help manage fatigue, but it is not as urgent as ensuring the client is safe from injuries related to low platelet counts.
D. Frequent hand hygiene is important to prevent infections, especially in immunocompromised patients, but it does not directly address the primary concern of preventing injuries related to thrombocytopenia.

A. "Your reading glasses will protect your eyes after the treatment." B. "You can eat a full breakfast before treatment." C. "Avoid exposure to sun for at least 6 weeks after the treatment." D. "Do not remove skin markings between treatments."

Correct Answer is C

Explanation

A. Reading glasses do not offer sufficient protection against the light sensitivity that results from photodynamic therapy. Special protective eyewear is needed to protect the eyes from exposure to bright light during recovery.
B. Clients are usually instructed to fast before treatments that involve anesthesia or sedation, such as photodynamic therapy. Eating a full breakfast is not typically recommended before this type of treatment.
C. After photodynamic therapy, clients become extremely sensitive to light, including sunlight. Exposure to sunlight or strong indoor lights can cause skin damage, so clients are advised to avoid sun exposure for at least 6 weeks.
D. Skin markings made for treatment guidance should be preserved between treatments, but this is less critical in photodynamic therapy compared to radiation therapy, where precise location is essential for targeting tumors.

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The nurse is evaluating the client's understanding of discharge instructions after a total hip replacement. The nurse asks the client what type of seating should be used. The client's correct response should be a:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives chemotherapy with an agent that causes thrombocytopenia. Which intervention is most important to teach the client?

Correct Answer is B

Explanation

In planning teaching sessions for a client undergoing photodynamic therapy for lung cancer, the nurse should include which statement?

Correct Answer is C

Explanation

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The client recovering from an esophagogastrectomy is preparing for discharge. What instructions should be included in the dietary teaching for this client?

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