A client is 2 days post–total hip replacement. Which activity, if observed by the nurse, requires immediate intervention?
The client reaches down to retrieve a dropped object.
The client asks for assistance when getting out of bed.
The client uses a long-handled shoehorn to put on shoes.
The client uses a walker to move from the bed to the bathroom.
The Correct Answer is A
Choice A reason: Bending at the waist to retrieve objects from the floor places the hip in flexion beyond 90 degrees, which significantly increases the risk of hip dislocation in the early postoperative period. This action violates standard hip precautions and requires immediate correction.
Choice B reason: Asking for assistance when getting out of bed is appropriate and demonstrates awareness of mobility limitations and safety. It does not pose a risk and reflects good self-care.
Choice C reason: Using a long-handled shoehorn is a recommended adaptive strategy to avoid excessive hip flexion. It supports independence while maintaining safety precautions.
Choice D reason: Using a walker for ambulation is standard practice in early recovery. It promotes mobility and reduces fall risk, aligning with rehabilitation goals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Consistent condom use is one of the most effective methods for preventing HIV transmission during sexual activity. This behavior significantly reduces risk and is considered protective.
Choice B reason: The HPV vaccine protects against human papillomavirus, not HIV. While vaccination is important for sexual health, it does not influence HIV risk directly.
Choice C reason: Injection drug use, especially when sharing needles, is a high-risk behavior for HIV transmission. Combined with multiple sexual partners, this individual has compounded risk factors, making him the most vulnerable among the choices.
Correct Answer is A
Explanation
Choice A reason: Crohn’s disease involves transmural inflammation, meaning it affects all layers of the intestinal wall. This can lead to complications such as fistulas and strictures.
Choice B reason: This describes ulcerative colitis, not Crohn’s disease. Crohn’s affects deeper layers beyond the mucosa.
Choice C reason: Crohn’s can affect any part of the gastrointestinal tract from mouth to anus, though it most commonly involves the terminal ileum.
Choice D reason: Crohn’s is not limited to the colon; it can affect multiple segments of the GI tract and has a relapsing-remitting course.
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.