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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 D

Explanation

A. Scratching around pin sites is more indicative of skin irritation or infection, not compartment syndrome.

B. Accumulation of flaky skin is generally unrelated to compartment syndrome and might be a sign of poor circulation or prolonged immobility.

C. Dry serosanguineous drainage is common after surgery and would not specifically indicate compartment syndrome.

D. Compartment syndrome is a serious condition where increased pressure within a muscle compartment can lead to ischemia and tissue damage. Pain, particularly pain that is out of proportion to the injury or pain when the limb is at rest, is a classic sign.

A. Bend the knees and support the back. B. Move the hips and legs first, then the upper body. C. Have the client help by pulling on the side rail. D. Turn the client as one unit without twisting the spine

Correct Answer is D

Explanation

A. While bending the knees helps with body mechanics, twisting the spine should still be avoided.

B. Moving the hips and legs first could lead to twisting the spine if not done correctly, so the spine must be kept aligned during all movements.

C. The client should avoid pulling on side rails or assisting with movement until fully cleared by the physician, as this could put unnecessary strain on the spine.

D. It is essential to maintain spinal alignment and prevent twisting of the spine during repositioning. The client should be turned as one unit to minimize strain on the healing vertebrae.

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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)

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Naxlex Comprehensive Predictor Exams

A client with traumatic injuries has a comminuted open fracture of the femur that has been placed in an external fixator. The nurse recognizes that compartment syndrome is associated with which clinical assessment finding?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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