A nurse is providing discharge teaching to an older adult client following a left total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?

"You should use an incentive spirometer every 8 hours."

"Clean the incision daily with hydrogen peroxide."

"You can cross your legs at the ankles when sitting down."

"Install a raised toilet seat in your bathroom."

Answer and Explanation

The Correct Answer is D

Rationale:

A. "You should use an incentive spirometer every 8 hours." Using an incentive spirometer is important for preventing respiratory complications, but the recommendation should be to use it every 1-2 hours while awake, not just every 8 hours.

B. "Clean the incision daily with hydrogen peroxide." Hydrogen peroxide is too harsh for wound care and can delay healing by damaging new tissue. The incision should be cleaned with mild soap and water or as directed by the healthcare provider.

C. "You can cross your legs at the ankles when sitting down." After a hip replacement, clients should avoid crossing their legs, especially at the knees, to prevent dislocation of the new hip joint.

D. "Install a raised toilet seat in your bathroom." After hip replacement surgery, the client should avoid bending the hip beyond 90 degrees to reduce the risk of dislocation. Installing a raised toilet seat helps the client maintain proper positioning and avoid hip flexion beyond the recommended limit.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Rationale:

A. Pursue local protective services: While protective services can be considered if there are signs of abuse or neglect, this is not the immediate recommendation in this situation. The caregiver's fatigue and irritability indicate stress, not abuse, other support options should be explored first.

B. Consider respite care services: Respite care provides temporary relief for caregivers, allowing them to rest and recharge. This is the most appropriate recommendation for a caregiver experiencing stress, as it helps prevent burnout and promotes better care for the client.

C. Take a nonprescription sleeping medication: While the caregiver may need better rest, self-medicating with nonprescription sleeping medication is not the best approach. It is more important to address the underlying cause of the caregiver’s stress and fatigue through proper support and respite services.

D. Contact hospice services for end-of-life care: Hospice services are for end-of-life care, typically for clients in the final stages of a terminal illness. Alzheimer's disease may lead to progressive decline, but this recommendation is premature.

A. "Keep your elbow in a flexed position." B. "Remain in a side-lying position." C. "Place a firm pillow under your head." D. "Wear splints on your wrists."

Correct Answer is D

Explanation

Rationale:

A. "Keep your elbow in a flexed position." Keeping the elbow in a flexed position increases the risk of contractures, particularly in the case of upper body burns. The goal is to keep the joints extended to prevent the development of contractures.

B. "Remain in a side-lying position." A side-lying position is not ideal for preventing contractures in the upper body. The client should be positioned to minimize pressure on the burn areas and encourage joint mobility, often with the client in a supine or elevated position.

C. "Place a firm pillow under your head." Placing a firm pillow under the head might cause the neck to flex, which could lead to neck contractures. A proper head and neck alignment should be maintained to avoid such complications.

D. "Wear splints on your wrists." Wearing splints on the wrists helps to keep the joints in proper alignment and prevents contractures by maintaining wrist extension. This is an appropriate intervention for clients with upper body burns to promote healing and function.

View Question and Answer

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

A nurse is providing discharge teaching to an older adult client following a left total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has moderate Alzheimer's disease. During weekly home visits, the nurse notices that the client's caregiver is tired, irritable, and impatient with the client. Which of the following actions should the nurse recommend to the caregiver?

Correct Answer is B

Explanation

A nurse is teaching a client who has burns to the upper body about positioning to prevent contractures. Which of the following information should the nurse include?

Correct Answer is D

Explanation

A nurse is caring for a client in the emergency department. Exhibits Which of the following 3 provider prescriptions does the nurse anticipate?

A nurse is planning care for a client who is 8 hr postoperative following a coronary artery bypass grafting. Which of the following assessments should the nurse plan to perform first?

A nurse is providing teaching to a client who has diabetes mellitus. Which of the following instructions should the nurse provide to the client to help prevent the development of nephropathy?

A nurse is preparing to discontinue long-term total parenteral nutrition (TPN) therapy for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects?

A nurse in an emergency department is caring for a client whose blood glucose level indicates diabetic ketoacidosis. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

The nurse is caring for a client in the emergency department. Exhibits Identify the findings that require follow-up. Select all that apply.

A nurse is assessing equipment needs in order to perform tracheostomy suctioning on a client. Which of the following pieces of equipment should the nurse gather for the procedure?