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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Pallor following elevation of the right leg. Pallor is not a typical sign of hip dislocation.

B. Bulging in the area over the surgical incision. This could indicate a hematoma or infection, not specifically dislocation.

C. Sensation of warmth over the surgical site. Warmth can indicate infection or inflammation, but is not a primary sign of dislocation.

D. Shortening of the right leg. Correct. Shortening of the leg is a classic sign of hip dislocation post-arthroplasty.

A. Increased red blood cell count B. Decreased lymphocyte count C. Decreased body temperature D. Absent left pedal pulse

Correct Answer is D

Explanation

A. Increased red blood cell count: An increased red blood cell count is not an immediate concern in the context of a fracture.

B. Decreased lymphocyte count: A decreased lymphocyte count could indicate an infection or immune issue but is not the immediate priority in a fracture situation.

C. Decreased body temperature: Hypothermia can be concerning, but in the context of a fracture, it is not as critical as neurovascular compromise.

D. Absent left pedal pulse: An absent pedal pulse indicates a possible compromised circulation to the lower extremity, which is a critical and immediate concern. It could signify a compartment syndrome or arterial damage requiring urgent intervention.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 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.

Correct Answer is D

Explanation

The nurse is collecting data on a patient with a left tibia fracture. Which of the following findings is a priority finding?

Correct Answer is D

Explanation

A nurse is monitoring a client who has a cast on her right ankle following an open reduction and internal fixation procedure. The nurse should monitor for which of the following findings to identify compartment syndrome?

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?

A nurse is reinforcing teaching with a client that has osteomyelitis of an open wound on his heel. Which of the following information should the nurse include?

The nurse is caring for an older adult patient who is postoperative from a total hip replacement. What PRIORITY care is anticipated postoperatively?

A patient sustains a closed femur fracture of the right tibia and is placed in a long leg plaster cast, which is still damp. Which of the following methods should the nurse use to move the cast to prevent complications?

A nurse is reinforcing teaching with a client who has an ankle sprain. Which of the following instructions should the nurse include?

A nurse is reinforcing teaching with a client who has a new diagnosis of gout. The client asks the nurse how she got the disorder. Which of the following information should the nurse include in the teaching?

The nurse is providing care for a patient following an open reduction surgery of a fracture. Which finding should the nurse report immediately to the HCP?