Which of the following should be included in patient teaching after hip replacement surgery?

"Be sure to bend at the hip, not the knee, to pick up items."

internally rotating your leg is okay, but do not externally rotate it."

If we need so help you roll in bed, we will roll you towards the operative side.

You should keep your knees apart using a wedge or pillow.

Answer and Explanation

The Correct Answer is D

A) "Be sure to bend at the hip, not the knee, to pick up items."
After hip replacement surgery, patients are instructed to avoid bending at the hip beyond 90 degrees, as this can dislocate the newly replaced hip. The correct guidance would be to avoid bending at the hip and instead bend at the knee when picking up items, ensuring the hip joint stays in a safe position.

B) "Internally rotating your leg is okay, but do not externally rotate it."
Internal rotation of the hip joint should also be avoided post-surgery, as it can increase the risk of dislocation. The correct teaching is to prevent both internal and external rotation of the hip to ensure the joint remains stable. Patients should be instructed to avoid twisting motions that can compromise the surgical repair.

C) "If we need to help you roll in bed, we will roll you towards the operative side."
This can place undue pressure on the newly replaced hip, potentially leading to dislocation or injury. The operative side should be kept stable and protected, so it is safer to roll the patient onto the non-operative side if necessary.

D) "You should keep your knees apart using a wedge or pillow."
It is essential to keep the knees apart, typically using a wedge or pillow between the legs. This prevents the hip from adducting (moving toward the midline) and reducing the risk of dislocation. Maintaining this position ensures the hip remains in a safe, stable alignment during the healing process.

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Correct Answer is A

Explanation

The client is showing signs of fluid overload due to heart failure exacerbation, including:

Progressive shortness of breath (fluid in the lungs)
Jugular venous distention (JVD) (increased central venous pressure)
Crackles in the lung bases (pulmonary congestion/edema)
Bounding pulse (increased circulating volume)

IV diuretics (e.g., Furosemide/Lasix) are the first-line treatment to rapidly reduce fluid overload by promoting diuresis and decreasing pulmonary congestion.

A. An area of non-blanchable redness on inner skin B. An open wound with visible adipose tissue C. An area of shallow broken skin with blistering D. Deep purple discoloration over intact skin

Correct Answer is C

Explanation

A. An area of non-blanchable redness on inner skin:
A stage II pressure injury is characterized by partial-thickness skin loss involving the epidermis and/or dermis. It may present as a shallow, open wound or blister. However, non-blanchable redness, which suggests a stage I pressure injury, is not consistent with stage II, as stage II involves more significant skin damage, including blistering or broken skin.

B. An open wound with visible adipose tissue:
This description is more characteristic of a stage III pressure injury, which involves full-thickness skin loss extending into the subcutaneous tissue, revealing adipose tissue. Stage II pressure injuries, on the other hand, are partial-thickness and do not expose underlying structures such as adipose tissue.

C. An area of shallow broken skin with blistering:
Stage II pressure injuries are defined by partial-thickness skin loss, which can present as a shallow open wound or blister. This description accurately fits the characteristics of a stage II pressure injury, where the skin is damaged but the full-thickness layers are not yet compromised.

D. Deep purple discoloration over intact skin:
This is indicative of a stage I pressure injury, which involves intact skin with non-blanchable redness or discoloration. Stage II injuries involve skin breakdown and would not present with intact skin or deep purple discoloration. This description is more aligned with the early stages of pressure injury development, not stage II.

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Which of the following should be included in patient teaching after hip replacement surgery?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

You are assessing a client admitted from a long-term care facility. When noting a stage Il pressure injury on the client's coccyx, which of the following would you expect?

Correct Answer is C

Explanation

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