Which of the following statements by the patient indicates correct understanding of postoperative hip precautions?
“I should turn my toes inward when lying down.”
“I can bend my hip more than 90 degrees when sitting in a chair.”
“I should cross my legs when sitting to improve circulation."
“I should use an abduction pillow between my legs while in bed."
The Correct Answer is D
A. “I should turn my toes inward when lying down.” Internal rotation of the hip increases the risk of dislocation and should be avoided.
B. “I can bend my hip more than 90 degrees when sitting in a chair.” Flexing the hip beyond 90 degrees increases dislocation risk and should be avoided.
C. “I should cross my legs when sitting to improve circulation." Crossing the legs can lead to hip adduction and dislocation. Instead, legs should remain apart.
D. “I should use an abduction pillow between my legs while in bed.” An abduction pillow keeps the legs in proper alignment and prevents dislocation by maintaining slight abduction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Moderate level of pain: Pain is expected after a fracture and casting. However, if pain is severe and unrelieved by medication, it may indicate compartment syndrome, which is an emergency. Moderate pain alone does not require immediate provider notification.
B. Dependent edema distal to the cast: Some swelling is expected due to reduced mobility and gravity-dependent positioning. Elevating the leg can help reduce swelling, but it does not require immediate provider notification.
C. Itching of the distal foot: Itching is a common, non-emergency side effect of casting. Clients should be advised not to insert objects inside the cast to relieve itching.
D. Inability to flex the toes of the casted foot: Inability to flex the toes suggests potential neurovascular compromise or compartment syndrome, a medical emergency requiring immediate intervention to prevent permanent nerve or muscle damage. The provider must be notified immediately.
Correct Answer is A
Explanation
A. "Allopurinol helps to lower uric acid levels and prevent future gout attacks." Allopurinol is a xanthine oxidase inhibitor that decreases uric acid production, helping to prevent future gout attacks rather than treating acute flares.
B. “I should take allopurinol during an acute gout attack to relieve pain immediately." Allopurinol is not used for acute gout attacks because it does not have immediate pain-relieving or anti-inflammatory effects. In fact, starting or increasing allopurinol during an acute attack may worsen symptoms.
C. “I should avoid drinking water while taking allopurinol to prevent kidney stones." Adequate hydration is essential while taking allopurinol to prevent uric acid kidney stones and to help eliminate excess uric acid from the body.
D. "Allopurinol works by reducing inflammation in my joints during a flare-up." Allopurinol does not have anti-inflammatory properties. It lowers uric acid levels over time, reducing the risk of future gout attacks but not treating acute inflammation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.