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 D

Explanation

A. "Osteoarthritis causes the joints to become red and hot." This is more characteristic of rheumatoid arthritis, which involves inflammation leading to redness and warmth. Osteoarthritis typically causes pain and stiffness without significant redness or heat.

B. "Osteoarthritis is caused by an autoimmune process." Rheumatoid arthritis is an autoimmune disease where the body's immune system attacks its own tissues. Osteoarthritis is a degenerative joint disease caused by wear and tear of the cartilage.

C. "Osteoarthritis affects other organs in the body." Rheumatoid arthritis is a systemic condition that can affect multiple organs. Osteoarthritis is localized to the joints and does not affect other organs.

D. "Osteoarthritis can impair a joint on a single side of the body." Osteoarthritis can affect one joint or joints on one side of the body, such as one knee or one hip, whereas rheumatoid arthritis typically affects joints symmetrically.

A. "I will schedule important tasks in the afternoon." B. "I can use heat or cold to help relieve my pain." C. "I should stop exercising if I experience even a little bit of discomfort." D. "I need to perform range-of-motion of my joints if I notice they are red."

Correct Answer is B

Explanation

A. "I will schedule important tasks in the afternoon." Clients with rheumatoid arthritis often experience morning stiffness, so scheduling important tasks in the afternoon may not be practical if fatigue sets in later in the day.

B. "I can use heat or cold to help relieve my pain." Both heat and cold can be effective in managing pain and inflammation associated with rheumatoid arthritis, depending on the stage of inflammation. Applying heat can help relax muscles and improve blood flow, while cold therapy can reduce swelling and numb pain. It’s essential for the client to follow proper guidelines when using these modalities

C. "I should stop exercising if I experience even a little bit of discomfort." While exercise should not cause severe pain, mild discomfort is expected and should not deter the client from continuing gentle exercises to maintain joint function and flexibility.

D. "I need to perform range-of-motion of my joints if I notice they are red." Range-of-motion exercises are essential for maintaining joint flexibility and preventing stiffness in rheumatoid arthritis. However, if the joints are red, swollen, or painful, it’s crucial toavoidperforming range-of-motion exercises during acute flare-ups. Instead, rest and gentle movement are recommended until the inflammation subsides.

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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 discussing the difference between rheumatoid arthritis (RA) and osteoarthritis with a newly hired nurse. Which of the following information should the nurse include about osteoarthritis?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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