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A client is being considered for a total hip replacement. The nurse understands that contraindications for this procedure include: (SELECT ALL THAT APPLY)

bleeding disorders.

a current infection.

immobility.

advanced osteoporosis.

severe pain

Answer and Explanation

Correct Answer : A,B,D

A. Bleeding disorders pose a risk of excessive bleeding during and after surgery.

B. An active infection can complicate the healing process and increase the risk of prosthetic joint infection.

C. While immobility may indicate a need for the surgery, it is not a contraindication.

D. Advanced osteoporosis can compromise the bone's ability to support the prosthetic, making surgery less viable.

E. Severe pain is one of the primary indications for considering hip replacement surgery.

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Correct Answer is B

Explanation

A. Suggesting remedies prematurely without fully understanding the client’s concerns might not address their specific needs.

B. The best response is to encourage open communication by acknowledging the client’s concerns and fostering a discussion. This approach helps the nurse understand the client’s worries and provide tailored information about rheumatoid arthritis and its potential impact on daily life.

C. The progression of rheumatoid arthritis is variable and can affect activities of daily living more noticeably over time; it’s not always subtle.

D. While predicting disease outcomes can be difficult, giving a more open response like option B will foster better communication and support.

A. observation during and after meals B. unscheduled weight checks C. monitoring during bathroom trips D. meals offered on a variable schedule E. adherence to scheduled meal times

Correct Answer is ["A","C","E"]

Explanation

A. Observation during and after meals is essential to prevent purging behaviors and to ensure the client is eating and not engaging in unhealthy behaviors.

B. Unscheduled weight checks could increase anxiety and are not typically part of a structured treatment approach.

C. Monitoring bathroom trips is important to prevent purging behaviors, such as vomiting, after meals.

D. Meals should be offered on a regular schedule to promote healthy eating habits and avoid the unpredictability that can lead to eating disorder behaviors.

E. Adherence to scheduled meal times helps provide structure and consistency for the client, which is crucial for managing anorexia nervosa.

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A client is being considered for a total hip replacement. The nurse understands that contraindications for this procedure include: (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client has been diagnosed with rheumatoid arthritis and asks, "What impact will this have on my activities of daily living in the years to come?" What is the best response by the nurse?

Correct Answer is B

Explanation

When the nurse admits a client with anorexia nervosa for treatment, what factors should the therapeutic milieu provide? (SELECT ALL THAT APPLY)

Correct Answer is ["A","C","E"]

Explanation

A client develops an inflamed. very painful right great toe overnight and the physician diagnoses gout. Treatment with colchicine is begun at 0.6 mg PO every two hours. For which side effect of this drug should the nurse assess?

A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication?

Which statement made by the client to the nurse indicates a precipitating factor associated with pain?

A client with arthritis is prescribed ibuprofen 800 mg PO TID for pain reduction in the knee. The nurse should instruct the client to report which of the following side effects to the physician? (SELECT ALL THAT APPLY)

A client with osteoarthritis of the left knee will undergo an injection of corticosteroids into the joint. The nurse notes that the primary reason for this injection is to:

Which of the following teaching instructions should be included for the patient with newly prescribed opioid analgesic for pain? (SELECT ALL THAT APPLY).

Which of these deformities is associated with osteoarthritis? (SELECT ALL THAT APPLY).

The nurse is giving medications using the client's feeding tube. Which medication cannot be delivered in this way?