A nurse is contributing to the plan of care for a client who had a total joint replacement and is two days postoperative. Which of the following resources should the nurse consult to determine the client’s activity level for the day?

Critical pathway

Standards of care

Clinical practice guidelines

Textbook reference

Answer and Explanation

The Correct Answer is A

A.   Critical pathway provides a specific, timeline-based plan of care with expected outcomes and interventions, including activity levels.
B.   Standards of care are important but may not offer specific guidance for the individual client's daily activity level.
C.   Guidelines may provide general recommendations but may lack specificity.
D.   This is general information source but not as specific or current as the institution's critical pathway.

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Correct Answer is A

Explanation

A. This is because using the same sponge repeatedly can introduce bacteria and other contaminants to the surgical site, increasing the risk of infection.
B. Cleansing the surgical site with a povidone-iodine solution is not recommended because it can cause skin irritation and allergic reactions. The nurse should use a chlorhexidine-based antiseptic solution instead, which is more effective and less toxic.
C. Shaving the client's hair near the surgical site is generally avoided, as it can increase the risk of infection. Hair removal, if needed, is often done with clippers.
D. The surgical site should be scrubbed starting at the center and moving outwards in a circular motion.

A. "Discomfort is expected in clients who are at the end-of-life." B. Opioid narcotics can cause loose stools and diarrhea in clients." C. Pain is expected in older adult clients." D. Clients are often afraid that opioid narcotics can result in addiction."

Correct Answer is D

Explanation

A. While discomfort can occur, it is not an expected or acceptable part of end-of-life care. Effective pain management is a key priority, and discomfort should be addressed promptly to ensure the client’s comfort and dignity.

B. While true, this statement does not directly address the expectation of discomfort at the end of life.
C. While pain can be present in older adults, the statement does not specifically address the end-of-life context.
D.Fear of addiction is a common concern among clients and families, even at the end of life. Nurses should educate clients and families about the importance of managing pain effectively and emphasize that addiction is not a concern when opioids are used appropriately for end-of-life care. This helps alleviate anxiety and encourages adherence to prescribed pain management regimens.

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A nurse is contributing to the plan of care for a client who had a total joint replacement and is two days postoperative. Which of the following resources should the nurse consult to determine the client’s activity level for the day?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with performing a skin preparation for a client who is scheduled for surgery. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about pain management during the end of life. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

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