A client was brought to the emergency department after a fall and is now being taken to the operating room for a right hip prosthesis. In the immediate postoperative period, what health education should the nurse emphasize?

"Keep your legs higher than your chest whenever you can

"Try to avoid bending your knees until next week"

"Make sure you don't bring your knees close together or cross them."

"Try to lie as still as possible for the first few days"

Answer and Explanation

The Correct Answer is C

Rationale:
A. Elevating the legs above the chest is not necessary or appropriate and could interfere with circulation or positioning after hip surgery.
B. Bending the knees is not contraindicated after hip replacement; hip flexion beyond 90 degrees is what should be avoided.
C. Avoiding adduction (bringing knees together or crossing legs) is essential after a hip prosthesis to prevent dislocation. This is a critical postoperative precaution emphasized in patient education.
D. Early mobilization and gentle activity are encouraged postoperatively to prevent complications like blood clots, not immobility.

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Correct Answer is C

Explanation

Rationale:
A. Tamsulosin is an alpha-1 blocker that can cause blood pressure to decrease, not increase, due to vasodilation.
B. Tamsulosin does not shrink the prostate; it relaxes the muscles in the prostate and bladder neck to improve urine flow.
C. Tamsulosin can cause orthostatic hypotension (sudden drops in blood pressure when standing), so avoiding sudden position changes is important to prevent dizziness and falls.
D. While the medication does improve urinary flow, patient safety regarding blood pressure changes is the priority teaching point.

A. Promptly inform the primary care provider B. Reposition the client with the affected foot-dependent C. Warm the client's foot and determine whether circulation improves. D. Reassess the client's neurovascular status in 15 minutes

Correct Answer is A

Explanation

Rationale:
A. Absent pulses and a pale foot are signs of compromised circulation, which may indicate compartment syndrome or arterial occlusion. This is a medical emergency requiring immediate evaluation and intervention by the primary care provider.
B. Repositioning the foot may not resolve the issue and delays necessary medical attention.
C. Warming the foot is inappropriate when signs of impaired circulation are present; it can mask symptoms and delay emergency care.
D. Delaying reassessment may result in permanent tissue damage if the issue is not addressed promptly. Immediate action is required.

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A client was brought to the emergency department after a fall and is now being taken to the operating room for a right hip prosthesis. In the immediate postoperative period, what health education should the nurse emphasize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 67-year-old client with incomplete bladder emptying caused by BPH has a new prescription for tamsulosin (Flomax). Which statement about tamsulosin is most important to include when teaching this client?

Correct Answer is C

Explanation

A nurse is assessing the neurovascular status of a client who has had a leg cast recently applied. The nurse cannot palpate the client's dorsalis pedis or posterior tibial pulse, and the client's foot is pale. What is the nurse's most appropriate action?

Correct Answer is A

Explanation

A client was brought to the emergency department after a fall and is now being taken to the operating room for a right hip prosthesis. In the immediate postoperative period, what health education should the nurse emphasize?

The nurse instructs the client with gastroesophageal reflux disease (GERD) regarding dietary measures. Which action demonstrates that the client has understood the recommended dietary changes?

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A nurse is planning care for a client who has diverticulitis. Which of the following menu guidance should the nurse include in the plan?

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