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A client who is 3 days post-operative following a total hip replacement returns from physical therapy and states, "Something is not right. I felt something 'pop' in my hip." What would cause the nurse to suspect that the client has dislocated the hip?

Increased incisional drainage

Painful, abnormally rotated leg

Reddened incision

Sudden shortness of breath

Answer and Explanation

The Correct Answer is B

A. Increased incisional drainage is not a typical sign of dislocation.

B. A painful, abnormally rotated leg is a classic sign of hip dislocation.

C. Reddened incision may indicate infection but not dislocation.

D. Sudden shortness of breath could indicate a pulmonary embolism, not hip dislocation.

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Correct Answer is C

Explanation

A. The drug should not be held based on how the client feels. Infliximab is prescribed based on specific treatment protocols, and stopping it could negatively impact disease management.

B. Infliximab can be taken regardless of food intake, so it’s not necessary to take it with food or milk.

C. Infliximab is an immunosuppressive medication, which increases the risk of infections. Teaching the client and caregivers about the importance of hand hygiene is essential in preventing infections.

D. There is no requirement for the drug to be given specifically in the morning. It can be given according to the prescribed schedule, typically at intervals based on disease management.

A. Right after breakfast and to lay the patient flat (as tolerated) for 30 minutes. B. With food but to avoid giving this medication with dairy products. C. On an empty stomach with a full glass of water and keep the patient upright for 30 minutes. D. On an empty stomach with a full glass of juice or milk.

Correct Answer is C

Explanation

A. The patient should not lie down after taking alendronate, as it increases the risk of esophageal irritation.

B. Alendronate should be taken on an empty stomach, and while dairy products should generally be avoided when taking certain medications, this specific instruction applies more to calcium or iron supplements.

C. Alendronate should be taken on an empty stomach, ideally first thing in the morning, with a full glass of water to enhance absorption. The patient must remain upright for 30 minutes to prevent esophageal irritation and reduce the risk of esophageal ulcers.

D. The medication should not be taken with milk or juice, as they can interfere with absorption.

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A client who is 3 days post-operative following a total hip replacement returns from physical therapy and states, "Something is not right. I felt something 'pop' in my hip." What would cause the nurse to suspect that the client has dislocated the hip?

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Naxlex Comprehensive Predictor Exams

A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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