A nurse is assisting in the care of a client who is postoperative following a hip arthroplasty in the orthopedic unit. The primary health care provider has prescribed pain management and positioning strategies to prevent complications.

Exhibits

Complete the following sentence by using the lists of options.

The client is at risk for developing
dropdown
due to
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

The correct answer is Constipation / Opioid use.

Constipation is a common side effect of opioid use. The client is receiving oxycodone for pain management, which can slow down the digestive system, leading to constipation.

Pressure injuries, also known as pressure ulcers or bedsores, are a risk due to prolonged immobility. This is especially relevant for a client who is postoperative and has limited movement. However, this was not selected as the primary condition based on the given clues.

Hypoglycemia (low blood sugar) is not directly indicated by the client's current medications or conditions. The client is receiving IV dextrose, but there is no indication of a risk of hypoglycemia in the provided information.

Confusion can occur in clients with cognitive impairments or due to medication side effects, but it is not specifically indicated as a primary risk in this case.

Dysrhythmias (abnormal heart rhythms) can be caused by imbalances in potassium or sodium levels, among other factors, but there is no evidence of such imbalances or related symptoms in this client’s case.

Nursing Test Bank

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Correct Answer is D

Explanation

Choice A rationale

Placing one hand over the other against the upper body of the gown increases the risk of contamination. The sterile field must be maintained by keeping hands in a position where they are less likely to come into contact with non-sterile surfaces.

Choice B rationale

Clasping hands behind the body at the waist can also lead to contamination, as the hands may inadvertently touch the gown, which may not be sterile in that area. It’s essential to keep hands in a position where they are less likely to become contaminated.

Choice C rationale

Keeping arms at the sides with hands in a relaxed position might cause hands to brush against non-sterile surfaces or clothing, leading to contamination. Therefore, this position is not recommended for maintaining sterility.

Choice D rationale

Interlocking fingers and holding hands away from the body above the waist is the proper technique for maintaining sterility. This position ensures that the hands are kept in the sterile field and away from non-sterile surfaces, reducing the risk of contamination.

A. Flex hips and knees when assisting the client to a standing position. B. Pivot on the foot farthest from the bed when assisting the client into the chair. C. Stand on the client's stronger side when moving the client into the chair. D. Raise the bed to waist level before moving the client.

Correct Answer is A

Explanation

Choice A rationale

Flexing hips and knees when assisting the client to a standing position provides a stable and balanced stance, reducing the risk of injury to both the nurse and the client. It ensures proper body mechanics and safety during the transfer.

Choice B rationale

Pivoting on the foot farthest from the bed when assisting the client into the chair is incorrect as it can cause instability and increase the risk of falls. It is important to pivot on the foot closest to the bed to maintain a stable center of gravity.

Choice C rationale

Standing on the client's stronger side when moving the client into the chair is not ideal because the nurse should provide support on the weaker side, ensuring the client is balanced and stable during the transfer.

Choice D rationale

Raising the bed to waist level before moving the client is a correct action to ensure proper body mechanics and reduce strain on the nurse's back. However, it is not as critical as ensuring proper support and stability during the transfer process. .

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is wearing sterile gloves in preparation for assisting with a client's sterile procedure.While waiting for the procedure to begin, how should the nurse position their hands?

Correct Answer is D

Explanation

A nurse is assisting in the transfer of a client who has left-sided weakness from a bed to a chair.Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a group of clients.For which of the following situations should the nurse complete an incident report? (Select all that apply.)

A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter.Which of the following actions should the nurse take?

A nurse in a long-term care facility is caring for a client who has a gastrostomy feeding tube.Prior to administering medications, which of the following findings should the nurse report to the provider?

A nurse in a long-term care facility is caring for a client who has a tracheostomy.Which of the following actions should the nurse take?

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A nurse is preparing to clean a blood spill on a bedside table.Which of the following solutions should the nurse plan to use?

A nurse is assisting in the care of a client who has pneumonia in the medical unit. Exhibits Which of the following information should the nurse include in discharge teaching for the client? (Select all that apply)