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. The Recommendation section is where the nurse suggests what action or intervention is needed (e.g., "I recommend you evaluate the patient for possible hemorrhage").
B. The Situation outlines the immediate issue (e.g., “The patient is 6 hours post-op hysterectomy and showing signs of possible deterioration”).
C. The Assessment section includes current vital signs and clinical findings such as oxygen saturation and heart rate. These data support the nurse’s clinical judgment and provide context for the concern.
D. The Background provides relevant medical history or events leading up to the current situation (e.g., "The patient underwent a total hysterectomy 6 hours ago").

A. The salad bar is a healthy choice when dining out. B. Bottled water is a suitable choice for increasing fluid intake. C. A fresh green salad with raw spinach, tomatoes, and cucumbers is a healthy choice for this client. D. Eating at a buffet is a good choice to increase caloric intake.

Correct Answer is B

Explanation

Rationale:
A. Salad bars can be a source of bacteria and are not recommended for neutropenic clients due to the high risk of infection from improperly washed or handled foods.
B. Bottled water is a safe option for clients with neutropenia, as it reduces exposure to potential contaminants found in tap water.
C. Raw vegetables, including spinach, tomatoes, and cucumbers, carry a higher risk of bacterial contamination and should be avoided by neutropenic patients.
D. Buffets pose a risk of exposure to pathogens due to prolonged food sitting time and shared serving utensils, making them unsafe for immunocompromised clients.

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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

Correct Answer is C

Explanation

A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?

Correct Answer is B

Explanation

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