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 D

Explanation

A. Pallor of the affected extremity: Pallor usually indicates vascular issues rather than a rotator cuff injury.

B. Alteration in the appearance of the shoulder joint: Visible deformity may suggest a dislocation or fracture, not specifically a rotator cuff injury.

C. Numbness of the thumb and index finger: Numbness of the thumb and index finger is more likely related to nerve compression, such as carpal tunnel syndrome.

D. Increased pain with lifting the arm: This is characteristic of a rotator cuff injury, which typically causes pain and weakness with shoulder movements, especially lifting the arm.

A. (Select All that Apply.) B. Check the client's toes for color, temperature, and sensation. C. Elevate the client's foot. D. Apply a compression bandage or ace wrap to the client's ankle. E. Encourage range of motion of the client's foot and ankle.

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

Explanation

A. Check the client's toes for color, temperature, and sensation. This assessment ensures that there is no neurovascular compromise, which is crucial for detecting complications like compartment syndrome.

B. Elevate the client's foot. Elevation reduces swelling and helps decrease pain and inflammation.

C. Apply a compression bandage or ace wrap to the client's ankle. Compression helps reduce swelling and provides support to the injured area.

D. Encourage range of motion of the client's foot and ankle. Encouraging range of motion immediately after an acute injury can exacerbate pain and swelling. Immobilization and rest are initially required.

E. Apply heat to the client's ankle. Heat should not be applied in the acute phase as it can increase swelling and inflammation. Cold therapy is recommended initially.

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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

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who reports shoulder pain. Which of the following findings should cause the nurse to suspect that the client has a rotator cuff injury?

Correct Answer is D

Explanation

A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. Which of the following interventions should the nurse take? (Select all that apply.)

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

Explanation

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