A nurse is caring for an older adult client who has had a total hip arthroplasty.
For each potential precaution, click to specify if the precaution is indicated or contraindicated for a client who has had a total hip arthroplasty.
Request an antiemetic medication.
Encourage the client to cough and deep breathe every 2 hr.
Ensure an abductor pillow is in place while the client is in bed.
Anticipate the administration of antibiotics.
Obtain a culture of the drainage from the surgical site.
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}
- Request an antiemetic medication: Contraindicated
- Rationale: Antiemetic medications are not typically required unless the client is experiencing nausea or vomiting, which is not indicated in this scenario.
- Encourage the client to cough and deep breathe every 2 hr: Indicated
- Rationale: Encouraging coughing and deep breathing helps prevent respiratory complications such as pneumonia, which is important postoperatively.
- Ensure an abductor pillow is in place while the client is in bed: Indicated
- Rationale: An abductor pillow helps maintain proper hip alignment and prevents dislocation of the hip joint after surgery.
- Anticipate the administration of antibiotics: Indicated
- Rationale: Administering antibiotics helps prevent infection, which is a common concern after surgical procedures.
- Obtain a culture of the drainage from the surgical site: Indicated
- Rationale: Obtaining a culture of the drainage can help identify any potential infections and guide appropriate treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Obtaining a blood sample is important for diagnosing a myocardial infarction, but it is not the immediate priority. The nurse should first focus on stabilizing the patient before performing diagnostic tests.
B. Initiating oxygen therapy is the priority action. Oxygen is critical in improving oxygenation and reducing myocardial stress during a myocardial infarction. It helps prevent further damage to the heart muscle and supports overall cardiac function.
C. Inserting the IV catheter is important for administering medications and fluids, but it is not as urgent as providing oxygen therapy, which directly impacts the client's oxygenation and cardiac function.
D. Attaching the leads for a 12-lead ECG is essential for diagnosing a myocardial infarction, but the priority is to stabilize the patient by administering oxygen before performing diagnostic tests.
Correct Answer is D
Explanation
A. Bicarbonate is important to monitor in conditions like metabolic acidosis or alkalosis, but it is not the primary laboratory value to monitor for a client on furosemide.
B. Albumin levels are important to monitor for nutritional status or liver function but are not directly impacted by furosemide use.
C. Cortisol levels are not typically affected by furosemide. Cortisol is more relevant in conditions like Cushing's syndrome or adrenal insufficiency.
D. Potassium is the primary laboratory value to monitor when a client is on furosemide, a loop diuretic. Furosemide increases the excretion of potassium, which can lead to hypokalemia. This can cause serious cardiac and muscular complications, so regular monitoring of potassium levels is crucial.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.