A client has just returned to the surgical unit following a femoral-popliteal bypass of the right leg. In which position should the nurse place the client?

Supine with the right leg extended and flat.

High-Fowler’s with the right leg extended.

Supine with the right leg flexed at a 45-degree angle.

Semi-Fowler’s with the right leg on two pillows.

Answer and Explanation

The Correct Answer is A

Choice A rationale

After a femoral-popliteal bypass, the client should be placed in a supine position with the right leg extended and flat. This position helps to prevent kinking and occlusion of the graft, which could lead to complications such as graft thrombosis.

Choice B rationale

High-Fowler’s position with the right leg extended is not recommended. This position could put strain on the surgical site and potentially compromise the graft.

Choice C rationale

Supine with the right leg flexed at a 45-degree angle is not advised. Flexing the leg could lead to kinking of the graft and subsequent complications.

Choice D rationale

Semi-Fowler’s with the right leg on two pillows is not the optimal position. While elevation can help with swelling, excessive elevation could potentially compromise blood flow to the graft.

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Correct Answer is A

Explanation

Choice A rationale

A decrease in inflammation at the site of infection is a key indicator that antibiotic therapy is effective. Inflammation is a response to infection, so if the inflammation is reducing, it suggests that the infection is being successfully treated.

Choice B rationale

An increase in circulating neutrophils could indicate an ongoing response to infection, rather than resolution. Neutrophils are a type of white blood cell that the body produces more of when there’s an infection. Therefore, an increase in neutrophils does not necessarily indicate that the antibiotic therapy has been effective.

Choice C rationale

A positive culture and sensitivity report indicates the presence of bacteria and identifies which antibiotics the bacteria are sensitive to. While this information is crucial for selecting the most effective antibiotic, it does not indicate whether the chosen antibiotic therapy has been effective.

Choice D rationale

A symptomatic fever could indicate an ongoing infection, rather than resolution. While fever can decrease as an infection is brought under control, the presence of a symptomatic fever does not necessarily indicate that the antibiotic therapy has been effective.

A. Administer morphine 2-4 mg IV prn for pain. B. Apply a figure of 8 pressure dressing starting day two post-operatively. C. Administer antibiotics as prescribed. D. Apply ice to the stump for 60-90 minutes.

Correct Answer is A

Explanation

The correct answer is Choice A. After a below-the-knee amputation (BKA), pain management is crucial. Administering morphine 2-4 mg IV prn for pain is an appropriate physician’s order to implement. Pain can be severe after amputation, and effective pain management can improve patient comfort, reduce anxiety, and aid in recovery. Applying a figure of 8 pressure dressing starting day two post-operatively (Choice B) is not typically done after a BKA7. The operative dressing and splint should be maintained, and the wound should be kept clean, dry, and intact. Administering antibiotics as prescribed (Choice C) is important, but it is not the first action to take. Pain management is the priority immediately after surgery. Applying ice to the stump for 60-90 minutes (Choice D) is not typically done after a BKA7. The operative dressing and splint should be maintained, and the wound should be kept clean, dry, and intact.

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A client has just returned to the surgical unit following a femoral-popliteal bypass of the right leg. In which position should the nurse place the client?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating the patient’s response to antibiotic therapy. Which data would indicate that the medication has been effective?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A client with diabetes has returned from the post-anesthesia care unit (PACU) after a below-the-knee amputation (BKA) of the left leg. Which physician’s order should the nurse implement?

Correct Answer is A

Explanation

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