A nurse is contributing to the plan of care for a client following a total hip arthroplasty. Which of the following interventions should the nurse recommend?

Turn the client every 4 hr for 48 hr while on bed rest.

Have the client use an incentive spirometer every 4 hr.

Instruct the client to bend from the hip when retrieving items from the floor.

Maintain hip abduction when turning the client.

Answer and Explanation

The Correct Answer is D

A. Turn the client every 4 hr for 48 hr while on bed rest: Clients should be turned more frequently, typically every 2 hours, to prevent complications like pressure injuries and venous thromboembolism. Additionally, clients are often mobilized early postoperatively to reduce complications.
B. Have the client use an incentive spirometer every 4 hr: Incentive spirometry should be performed more frequently (every 1-2 hours) to prevent atelectasis and improve lung function post-surgery.
C. Instruct the client to bend from the hip when retrieving items from the floor: This motion risks hip dislocation. Clients should be instructed to avoid bending at the hip past 90 degrees.
D. Maintain hip abduction when turning the client. Maintaining hip abduction prevents dislocation of the prosthetic hip joint. This position keeps the hip joint in a neutral and stable alignment.

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Correct Answer is A

Explanation

A. Testicular: Testicular cancer is the most common cancer in males aged 15–35, and regular self-examinations are recommended.
B. Skin: Routine skin examinations may be important but are less specific for this age group.
C. Prostate: Prostate cancer screenings typically start at age 50 or earlier for high-risk individuals.
D. Colorectal: Colorectal cancer screenings are recommended starting at age 45 unless there is a family history or risk factors.

A. Keep both arms below the level of the client's heart. B. Obtain blood pressure readings using the client's right arm. C. Use the client's left arm to obtain blood samples. D. Limit range-of-motion exercises with the affected arm

Correct Answer is C

Explanation

A. Keeping both arms below the level of the client's heart is not recommended for preventing lymphedema. The affected arm should be elevated when possible to reduce the risk of fluid accumulation.
B. Obtaining blood pressure readings on the affected arm is contraindicated because it can increase the risk of lymphedema.
C. Use the client's left arm to obtain blood samples: To prevent lymphedema, it's important to avoid using the affected arm (the right arm in this case) for invasive procedures like blood draws or blood pressure measurements, as this can increase the risk of lymphedema by promoting fluid retention.
D. Limiting range-of-motion exercises could impair recovery and muscle function. Early and gentle exercises should be encouraged to maintain mobility and avoid complications.

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A nurse is contributing to the plan of care for a client following a total hip arthroplasty. Which of the following interventions should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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