A nurse is caring for a client who has undergone a total hip replacement. The nurse reviews health education with the patient before discharge. Which of the client's statements would indicate to the nurse that the client requires further teaching?

"The occupational therapist is showing me how to use a 'sock puller to help me get dressed."

"I will need my husband to assist me in getting off the low toilet seat at home."

I will need to keep a pillow between my legs at night."

"I need to remember not to cross my legs. It's such a habit

Answer and Explanation

The Correct Answer is B

Rationale:
A. Using assistive devices like a sock puller is appropriate and helps the client maintain hip precautions while performing activities of daily living.
B. Using a low toilet seat increases the risk of hip dislocation by causing excessive hip flexion. The client should use a raised toilet seat to avoid bending the hip more than 90 degrees. This statement indicates a need for further teaching.
C. Keeping a pillow between the legs, especially when sleeping, helps prevent hip adduction and dislocation.
D. Avoiding leg crossing is an important hip precaution to maintain proper alignment and prevent dislocation.

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Correct Answer is C

Explanation

Rationale:
A. Elevating the knee gatch (bending the knee portion of the bed) can interfere with the effectiveness of traction and should be avoided.
B. Weights should never be removed unless prescribed by the healthcare provider, as doing so can disrupt traction and harm the patient.
C. Maintaining correct body alignment ensures the traction is effective and helps prevent complications, such as muscle spasm or nerve compression. This is a key part of Buck's traction care.
D. Prolonged semi-Fowler's position can promote hip flexion and compromise the effectiveness of traction. Flat or low Fowler’s position is generally preferred.

A. Administer broad-spectrum antibiotics as prescribed. B. Encourage the client to drink at least 2 liters of fluid per day to promote hydration C. Instruct the client to refrain from sexual activity until the infection is resolved. D. Prepare the client for a laparoscopic procedure to visualize the pelvic organs.

Correct Answer is A

Explanation

Rationale:
A. Administering broad-spectrum antibiotics promptly is the priority because PID is a serious infection that can cause complications if not treated urgently.
B. Encouraging hydration is important but secondary to initiating antibiotic therapy.
C. Sexual abstinence is part of education but not the immediate priority in acute care.
D. Laparoscopy may be used for diagnosis but is not the first step in management.

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A nurse is caring for a client who has undergone a total hip replacement. The nurse reviews health education with the patient before discharge. Which of the client's statements would indicate to the nurse that the client requires further teaching?

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A client is in Buck's traction after fracturing his right hip. Which action should the nurse include in the care plan?

Correct Answer is C

Explanation

A 28-year-old female client presents to the clinic with lower abdominal pain, fever, and vaginal discharge. Upon assessment, the nurse suspects Pelvic Inflammatory Disease (PID). Which of the following actions should the nurse prioritize when caring for this client?

Correct Answer is A

Explanation

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A nurse is caring for a client who has undergone a total hip replacement. The nurse reviews health education with the patient before discharge. Which of the client's statements would indicate to the nurse that the client requires further teaching?