A client had a right knee replaced 4 days ago. The client returns with an elevated temperature for the past 24 hours. Which assessment would the nurse prioritize?

Urine characteristics

Homan's sign

Lung sounds

Frequency of diarrhea episodes

Answer and Explanation

The Correct Answer is C

A.   While monitoring urine characteristics is important for overall assessment, it may not be the priority in this situation.
B.   Homan's sign is used to assess for deep vein thrombosis and may not be directly related to the client's current symptoms.
C.   Elevated temperature after knee replacement surgery could indicate a potential infection, including pneumonia, so assessing lung sounds for signs of infection is a priority.

D.   Diarrhea may be indicative of gastrointestinal issues but is less likely to be directly related to the client's current symptoms after knee replacement surgery.

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Correct Answer is A

Explanation

A. Neutropenic precautions are implemented when the white blood cell count is significantly decreased, typically below 1,000/mm3, to protect the client from potential infections due to compromised immunity.
B. Hematocrit level and hemoglobin levels are indicators of red blood cell function and oxygen-carrying capacity and are not directly related to neutropenia.

C. Hemoglobin levels are an indicator of oxygen-carrying capacity and are not directly related to neutropenia.
D. Platelet count is related to clotting function and is not directly related to neutropenia.

A. A client age 52 who had gall bladder surgery and has osteoarthritis B. A client age 18 who had plastic surgery on nose and is overweight C. A client age 45 with a fractured wrist and in pain D. A client age 78 with Rheumatoid arthritis who had foot surgery and a Foley catheter inserted

Correct Answer is D

Explanation

A. While gall bladder surgery carries a risk of infection, having osteoarthritis does not significantly increase the risk compared to other factors listed.
B. Plastic surgery and being overweight may increase the risk of surgical site infections, but age and comorbidities are more significant factors.

C. A fractured wrist may increase the risk of infection at the fracture site, but it is not as significant a risk factor as advanced age and comorbidities.
D. Advanced age, rheumatoid arthritis, foot surgery, and Foley catheter insertion are all factors that increase the risk of infection, making this client the most vulnerable.

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A client had a right knee replaced 4 days ago. The client returns with an elevated temperature for the past 24 hours. Which assessment would the nurse prioritize?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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