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. While using the correct needle size is important for insulin administration, it is not the most critical aspect of discharge planning. The focus should be on managing blood glucose levels and recognizing when medical intervention is needed.
B. Monitoring the skin for dryness at the injection site is a good practice, but it is not the most urgent issue to address in discharge planning for a newly diagnosed diabetic client.
C. Consistently elevated blood glucose levels above 200 mg/dL may indicate poor control of diabetes and require prompt adjustments in treatment. Teaching the client to recognize and report hyperglycemia is essential to prevent complications such as diabetic ketoacidosis (DKA).
D. Eye exams are important for long-term diabetes management to monitor for diabetic retinopathy, but every 3 months is excessive. Annual eye exams are typically sufficient unless otherwise indicated by the healthcare provider.

A. Include a diet of soft foods and liquid protein. B. Safety in the home to reduce injury and falls. C. Space activities throughout the day to allow periods of rest. D. Frequent hand hygiene using soap and water to decrease flora.

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.

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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:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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