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. The client has an inspiratory stridor. Inspiratory stridor indicates airway obstruction or laryngeal edema, a potentially life-threatening complication following a bronchoscopy that requires immediate intervention.
B. The client reports a sore throat: A sore throat is common after bronchoscopy due to irritation from the scope. This does not require reporting.
C. The client’s sputum has streaks of blood: Small amounts of blood in sputum are expected due to minor mucosal trauma.
D. The client’s temperature is 38.6°C (101.4°F): Mild fever can occur post-procedure due to inflammation but should only be reported if it persists or other infection signs develop.

A. "Plan to hire a home care aid to perform all of your ADLs. B. "You will not become fatigued when you use assistive devices. C. "Install grab bars in your shower to assist with your balance. D. "Place a towel in the shower to prevent slipping.

Correct Answer is C

Explanation

A. "Plan to hire a home care aide to perform all of your ADLs.": Encouraging independence is vital for rehabilitation. Assistance should be provided only as needed.
B. "You will not become fatigued when you use assistive devices.": Using assistive devices can still be tiring; clients should be informed to take frequent breaks.
C. "Install grab bars in your shower to assist with your balance." Grab bars are essential for safety, as clients who have a CVA may have weakness or poor balance, increasing the risk of falls.
D. "Place a towel in the shower to prevent slipping.": Towels in the shower are not safe and can increase the risk of slipping. A non slip mat is a better alternative.

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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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Explanation

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Correct Answer is C

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