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.

Pallor following elevation of the right leg.

Bulging in the area over the surgical incision.

Sensation of warmth over the surgical site.

Shortening of the right leg.

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is A

Explanation

A. Pain unrelieved by routine medications: Pain unrelieved by medication is a hallmark sign of compartment syndrome, a serious condition that requires immediate intervention.
B. Elevated WBC count: An elevated WBC count indicates infection but is not a specific sign of compartment syndrome.
C. Swelling and redness of the right leg: While swelling and redness can be present, they are not specific to compartment syndrome and can occur in many other conditions.
D. Decreased oxygen saturation: Decreased oxygen saturation is more commonly associated with respiratory or cardiac issues and is not specific to compartment syndrome.

A. Taking calcium supplements B. Avoiding all forms of physical activity C. Regular weight-bearing exercise D. Limiting sun exposure

Correct Answer is C

Explanation

A. Taking calcium supplements: While calcium supplements can help, they are not as effective alone without other measures such as weight-bearing exercise.
B. Avoiding all forms of physical activity. Physical inactivity can actually increase the risk of osteoporosis. Weight-bearing exercise helps to strengthen bones.
C. Regular weight-bearing exercise. Weight-bearing exercises, such as walking or lifting weights, are the most effective in promoting bone health and preventing osteoporosis.
D. Limiting sun exposure. Limiting sun exposure can actually be detrimental because it can lead to a deficiency in vitamin D, which is necessary for calcium absorption and bone health.

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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.

Nursing Test Bank

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