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 A
Explanation
A. Administering 0.9% normal saline at 50 mL/hr continuous is not appropriate for a client with acute heart failure. This solution is isotonic and may contribute to fluid overload, which could worsen the heart failure. In acute heart failure, fluids are typically restricted, and intravenous solutions with a lower sodium content or diuretics are preferred to help manage fluid balance.
B. Laboratory testing of serum potassium is appropriate, as monitoring potassium levels is important in clients with heart failure, especially if they are on medications like diuretics, which can lead to electrolyte imbalances.
C. Bumetanide, a loop diuretic, is commonly used to treat fluid retention in heart failure. The prescribed dose of 1 mg IV bolus every 12 hours is appropriate for managing fluid overload.
D. Morphine sulfate can be used for pain management in acute heart failure, as it helps reduce anxiety, decrease preload, and relieve pain. The prescribed dose of 2 mg IV bolus every 2 hours PRN pain is within a reasonable range for pain control.
Correct Answer is A
Explanation
A. Erectile dysfunction is a common complication following prostatectomy due to potential damage to the nerves responsible for erectile function. This can occur as a result of the surgery, particularly if the prostate is near the nerves involved in sexual function.
B. Paralytic ileus is not a common complication of prostate surgery. It is more commonly associated with abdominal surgeries.
C. Cystitis, or bladder inflammation, is not a typical complication after prostatectomy. However, urinary issues such as incontinence or urinary retention can occur.
D. Testicular torsion is unrelated to prostate surgery. It is a condition where the spermatic cord twists, cutting off blood flow to the testicle, and is not a complication of prostatectomy.
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