A nurse is assisting a client who is 2 days postoperative following a total hip arthroplasty to walk to a chair. When the nurse offers to help the client ambulate, the client refuses to get out of bed. Which of the following actions should the nurse take?

Tell the client that if she does not get out of bed she will not receive any assistance with bathing.

Acknowledge the client's wishes, but explain the importance of ambulation post operatively.

Ask for assistance from a physical therapist to help move the client out of bed.

instruct the assistive personnel (AP) to transfer the client to a chair.

Answer and Explanation

The Correct Answer is B

A. Tell the client that if she does not get out of bed she will not receive any assistance with bathing. This approach is coercive and unethical. It does not respect the client's autonomy and could harm the nurse-client relationship.

B. Acknowledge the client's wishes, but explain the importance of ambulation postoperatively. This approach respects the client's autonomy while providing education on the importance of ambulation for recovery. It encourages the client to make an informed decision.

C. Ask for assistance from a physical therapist to help move the client out of bed. While involving a physical therapist is helpful, it should be done after the nurse explains the importance of ambulation and obtains the client's consent.

D. Instruct the assistive personnel (AP) to transfer the client to a chair. This does not address the client's refusal and autonomy. Forcing the client to transfer without consent is inappropriate.

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Correct Answer is A

Explanation

A. Applying a cast: Casting is a common treatment to immobilize the fracture and allow proper healing.
B. Performing physical therapy: Physical therapy is part of the rehabilitation process but not an immediate treatment for stabilizing a fracture.
C. Taking antibiotics: Antibiotics are not standard treatment for fractures unless there is an associated open wound or infection.
D. Using heat therapy: Heat therapy is not recommended immediately after a fracture as it can increase swelling and pain.

A. Malalignment of healed bones. B. Delay or absence of healing. C. Impaired mobility function. D. Development of bone infection.

Correct Answer is B

Explanation

A. Malalignment of healed bones. While malalignment can occur, it is not specifically associated with diabetes mellitus. Malalignment is more commonly related to inadequate immobilization or improper casting technique.
B. Delay or absence of healing: Diabetes mellitus impairs circulation and healing processes due to poor blood flow and neuropathy, making delayed union or non-union a significant risk.
C. Impaired mobility function. While diabetes and aging can contribute to impaired mobility, this is a general consideration and not directly related to the specific complication of the fracture healing process.
D. Development of bone infection. Although diabetics are at higher risk for infections, a closed reduction and proper cast care reduce this risk. Infection would be more of a concern with an open fracture or surgery.

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A nurse is assisting a client who is 2 days postoperative following a total hip arthroplasty to walk to a chair. When the nurse offers to help the client ambulate, the client refuses to get out of bed. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the treatment for an ankle fracture. Which of the following is a treatment option for fractures?

Correct Answer is A

Explanation

A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a fiberglass cast. The patient is 65 years old and has a medical 30-year history of diabetes mellitus. Which condition does the nurse recognize as a possible complication for this patient?

Correct Answer is B

Explanation

The nurse is caring for a patient with external fixation for a fracture involving severe bone damage. Which is the most important focus for the nurse during care of this patient?

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A nurse is contributing to the plan of care for a client to achieve the outcome of functional healing of a fracture. Which of the following nursing interventions is the HIGHEST priority to assist in meeting this outcome?

A nurse is caring for a client who is postoperative following shoulder surgery. The client has a prescription to keep the affected arm adducted. Which of the following instructions should the nurse provide the client?

A nurse is caring for a client who is 3 days post-operative from a right hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should examine the client for which of the following manifestations of dislocation of the hip prosthesis.

A nurse is assisting a client who is 2 days postoperative following a total hip arthroplasty to walk to a chair. When the nurse offers to help the client ambulate, the client refuses to get out of bed. Which of the following actions should the nurse take?