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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Free Nursing Study Resources

Correct Answer is A

Explanation

A) Though the condition can be inconvenient, there are no long-term negative effects of GERD: This is the incorrect statement. GERD, if left untreated, can lead to significant long-term complications, such as esophagitis, strictures, Barrett's esophagus (a precancerous condition), and an increased risk of esophageal cancer. Therefore, it’s critical to manage GERD effectively to prevent these adverse outcomes.

B) You should avoid lying flat on your back for 2-3 hours after eating: advice. Lying flat after eating can increase the likelihood of reflux, as it allows stomach acid to flow back into the esophagus more easily due to gravity. Staying upright for at least 2-3 hours after meals helps prevent acid reflux.

C) If you use antacids they should be separated from other oral medications by several hours: . Antacids can interfere with the absorption of other oral medications by altering the stomach’s pH. It’s recommended to take antacids at least 1-2 hours apart from other medications to avoid reducing their effectiveness.

D) You should avoid spicy, fatty, and acidic foods as much as possible as they can trigger reflux: This is also correct. Certain foods, like spicy, fatty, and acidic items, can relax the lower esophageal sphincter and increase gastric acid production, both of which can exacerbate GERD symptoms. Avoiding or limiting these foods can help manage the condition more effectively.

A. 15-30g oral carbohydrates. B. 10% dextrose continuous IV infusion C. Glucagon PO, D. 50% dextrose in water (050W) IV push

Correct Answer is D

Explanation

A. 15-30g oral carbohydrates:
Oral carbohydrates are a first-line treatment for hypoglycemia in a conscious, alert patient who can safely swallow. However, since the patient is unresponsive, administering oral carbohydrates is not an appropriate option. The patient’s inability to swallow safely increases the risk of aspiration, making IV treatment the priority in this case.

B. 10% dextrose continuous IV infusion:
A 10% dextrose IV infusion can be used in the management of hypoglycemia, but in an acute, emergency setting where the patient is unresponsive and their blood glucose is critically low (30 mg/dL), a rapid-acting intervention is needed. A bolus dose of a concentrated solution, such as 50% dextrose, is more appropriate for quickly raising the blood glucose level in this situation, rather than a continuous infusion, which takes longer to achieve an effective increase in glucose.

C. Glucagon PO:
Glucagon is typically used for hypoglycemia in patients who are unconscious or unable to take oral glucose. However, glucagon is typically administered intramuscularly (IM) or subcutaneously (SQ), not orally (PO). Administering glucagon orally is ineffective, as it would not be absorbed by the body in the necessary manner to correct hypoglycemia. Therefore, this option is inappropriate.

D. 50% dextrose in water (50% DW) IV push:
When a patient is unresponsive and their blood glucose level is critically low (30 mg/dL), the priority treatment is an immediate, concentrated source of glucose. Administering 50% dextrose IV push is the most appropriate intervention in this scenario. It provides a rapid and effective increase in blood glucose levels, which is critical for reversing hypoglycemia in an emergency situation. This is the fastest and most direct approach to treating severe hypoglycemia in an unresponsive patient.

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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

The nurse is providing education to a client newly diagnosed gastroesophageal reflux (GERD). Which of the following would be an incorrect statement about this condition?

Correct Answer is A

Explanation

You enter the room of your known diabetic patient and find them unresponsive. After ensuring they are breathing and have a patent airway, you check a blood glucose and find it to be 30 mg/dL. Which of the following medications should be the priority to administer?

Correct Answer is D

Explanation

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