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 C

Explanation

A. Assessing pupils is important, but it provides only partial information about the overall neurologic status and does not give a comprehensive picture of improvement or deterioration.
B. Vital signs can indicate some changes in condition but are not specific to neurologic status and do not provide detailed insight into cognitive or motor function.
C. Performing serial Glasgow Coma Scales allows for a standardized and objective assessment of a patient's level of consciousness, motor responses, and verbal responses over time, making it the most effective method to evaluate neurologic status.
D. The Mini Mental Status Exam provides useful information about cognitive function but may not capture acute changes in neurologic status as effectively as the Glasgow Coma Scale.

A. Degree of upper body vasculature observed. B. Arm circumference and degree of edema. C. Blood pressure and heart rate. D. Peripheral sensation and movement of upper extremities.

Correct Answer is C

Explanation

A. Assessing the degree of upper body vasculature may provide some information, but it does not directly address the client's current symptoms or vital status.
B. Measuring arm circumference and evaluating the degree of edema are important for understanding the extent of swelling but do not assess the client’s hemodynamic stability or respiratory status.
C. Blood pressure and heart rate are critical assessments in this scenario, especially considering the client’s dyspnea and upper body edema. Changes in these vital signs can indicate potential respiratory distress, compromised cardiac function, or anaphylaxis, which requires immediate intervention.
D. While assessing peripheral sensation and movement is important for overall neurological function, it is not a priority in this context compared to assessing vital signs that can directly affect the client’s stability.

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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

The nurse is performing an assessment on a patient. How would the nurse best evaluate improvement or deterioration in the neurologic status?

Correct Answer is C

Explanation

The nurse is admitting a client who reports symptoms of dyspnea. The nurse notes edema of the upper arms, face, and neck. What is the nurse's priority assessment?

Correct Answer is C

Explanation

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