A client returns to the unit after undergoing a total hip replacement with a cemented prosthesis. Which order should the nurse anticipate regarding weight bearing status?

Full weight bearing

Toe touch weight bearing

Non-weight bearing

Partial weight bearing

Answer and Explanation

The Correct Answer is A

A. Full weight bearing is often allowed immediately after surgery with a cemented prosthesis to facilitate early mobility.

B. Toe touch weight bearing is typically reserved for certain types of hip surgeries, not cemented prostheses.

C. Non-weight bearing is usually for surgeries with significant healing time required for the bone.

D. Partial weight bearing may be prescribed in some cases but is less common with cemented prostheses.

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Correct Answer is D

Explanation

A. Measuring drainage from the Jackson-Pratt drain is important, but this is not the primary intervention to address post-laminectomy complications.

B. The patient should generally be positioned in a neutral, stable position, but not specifically prone with knees elevated, which may be uncomfortable or inappropriate for the cervical region.

C. Narcotics may be required for pain control, especially postoperatively, so advising the patient to avoid them is inappropriate.

D. Following a cervical spine laminectomy, the nurse should assess the client for any signs of nerve or spinal cord injury, such as difficulty speaking or breathing. These symptoms may indicate spinal cord compression or other complications.

A. "There is inflammation in my muscles and tendons." B. "The disease is psychosomatic." C. "There is destruction of cartilage in my joints." D. "My body mistakes non-painful stimuli for pain."

Correct Answer is D

Explanation

A. Fibromyalgia does not involve inflammation in muscles and tendons; it is a central nervous system disorder.

B. Fibromyalgia is not psychosomatic, although its symptoms are not fully understood and may involve stress.

C. Cartilage destruction is more characteristic of osteoarthritis, not fibromyalgia.

D. Fibromyalgia is characterized by abnormal pain processing, where the body perceives normal sensations as painful.

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A client returns to the unit after undergoing a total hip replacement with a cemented prosthesis. Which order should the nurse anticipate regarding weight bearing status?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with cervical spine degeneration has undergone a laminectomy. Which intervention should the nurse implement?

Correct Answer is D

Explanation

The client has fibromyalgia and asks the nurse why this occurs. Which statement by the client, would show that the explanation was understood?

Correct Answer is D

Explanation

The patient is post-op day 1 of a right total hip replacement. What precautions are necessary to prevent complications? (SELECT ALL THAT APPLY).

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