A nurse is caring for a client who had total hip arthroplasty 2 days ago. Which of the following actions should the nurse take

Instruct the client to bend at the waist to put on slippers

Keep the client's heels elevated while in bed

Massage the clients affected leg three times daily

Maintain slight adduction of the client's affected hip

None

Answer and Explanation

The Correct Answer is B

A. Instructing the client to bend at the waist is incorrect because hip flexion beyond 90 degrees is contraindicated after total hip arthroplasty due to risk of dislocation.

B. Keeping the client’s heels elevated while in bed is correct. This helps prevent pressure ulcers, which are a common postoperative complication due to decreased mobility.

C. Massaging the affected leg is contraindicated because it can dislodge a thrombus and lead to complications such as a pulmonary embolism.

D. Maintaining adduction of the affected hip is incorrect because it increases the risk of hip dislocation. The hip should be kept in abduction using a pillow or abduction device.

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Correct Answer is ["A","B","D"]

Explanation

Rationale:

A. "Alternate the shoes you wear each day.": Rotating shoes helps prevent pressure points and reduces the risk of skin breakdown or foot ulcers, which is important for clients with diabetes who have impaired circulation and sensation.

B. "Apply synthetic fabric socks.": Synthetic or moisture-wicking socks help keep feet dry and prevent fungal infections, a common concern in clients with diabetes. Cotton or synthetic blends are preferred over thick wool or socks that retain moisture.

C. "Wear open-toe shoes": Open-toe shoes increase the risk of injury, infection, and trauma, which can lead to serious complications in diabetic clients. Closed, well-fitting shoes provide protection and support.

D. "Wash your feet daily with warm water and soap": Daily washing and gentle drying of the feet helps maintain hygiene, prevents infection, and allows early detection of cuts, cracks, or sores. Warm, not hot, water prevents burns in clients with neuropathy.

E. "Soak your feet for 1 hour each day.": Prolonged soaking can cause skin maceration, increasing the risk of infection and breakdown. Soaking is generally discouraged for clients with diabetes.

A. The client takes a hot bubble bath every day. B. The client washes her perineum first when bathing. C. The client brushes her teeth twice daily. D. The client wipes back to front when toileting

Correct Answer is C

Explanation

Rationale:

A. The client takes a hot bubble bath every day: Frequent hot bubble baths can irritate the skin and mucous membranes, potentially increasing the risk of infections. Daily bathing is acceptable, but water should be warm rather than hot, and bubble baths should be limited.

B. The client washes her perineum first when bathing: Proper hygiene involves washing from front to back to prevent transferring bacteria from the rectal area to the urethra or vagina. Washing the perineum first without this technique increases the risk of urinary tract infections.

C. The client brushes her teeth twice daily: Brushing teeth twice daily is an appropriate and effective oral hygiene practice. It helps prevent dental plaque, cavities, and gum disease, indicating correct understanding of personal hygiene.

D. The client wipes back to front when toileting: Wiping back to front can transfer fecal bacteria to the urethra and genital area, increasing the risk of urinary tract infections. The correct technique is front to back.

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A nurse is caring for a client who had total hip arthroplasty 2 days ago. Which of the following actions should the nurse take

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about foot care to a client who has diabetes mellitus. Which of the following instructions should the nurse include? (Select all that apply)

Correct Answer is ["A","B","D"]

Explanation

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Correct Answer is C

Explanation

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