A nurse is reinforcing discharge teaching with a client who had a right total hip arthroplasty. Which of the following Instructions should the nurse include?

"You should avoid putting a pillow between your legs when in bed."

"You should avoid exercising for the next 6 weeks."

"You should avoid lying on your right side."

"You should avoid crossing your legs for 3 months."

Answer and Explanation

The Correct Answer is C

A.   Placing a pillow between the legs can actually provide support and comfort when lying on the back or non-operative side.
B.   Gentle exercises are typically encouraged after hip arthroplasty to promote circulation and prevent complications.
C.   Correct. Avoiding lying on the operative side helps prevent dislocation of the new hip joint.
D.   Avoiding crossing the legs helps prevent hip joint stress, but avoiding lying on the operative side is more crucial.

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Correct Answer is A

Explanation

A. Correct. Credible medical information is typically supported by references to reputable sources or studies. Authors who cite references provide evidence that their information is based on established knowledge.
B. Incorrect. The .com URL does not necessarily indicate the credibility of the information.
Websites with .org or .gov domains may be more reliable for health information.
C. Incorrect. Websites with outdated information may not be as credible since medical knowledge and practices can change over time.
D. Incorrect. Authors listed without credentials may raise doubts about the reliability of the information. Credible sources usually provide author qualifications.

A. Encourage the client to avoid caffeine. B. Report lithium level to the provider. C. Provide step-by-step reminders regarding hygiene. D. Involve the client in group activities. E. Encourage the client to eat finger foods frequently. F. Redirect aggressive behaviors G. Monitor the blood pressure and heart rate every 4 hr. H. Weigh the client daily.

Correct Answer is ["A","B","C","E","F","G","H"]

Explanation

A.Caffeine can exacerbate symptoms of mania by increasing restlessness and irritability. Avoiding caffeine can help in managing these symptoms.

B.Lithium is a common medication used to manage manic episodes in bipolar disorder. Monitoring lithium levels is crucial to ensure the client's safety and therapeutic effectiveness.

C.Clients experiencing mania may have difficulty focusing and completing tasks, including personal hygiene. Step-by-step reminders can help the client maintain proper hygiene.

D.While social interaction can be beneficial, clients in a manic state may become overstimulated or disruptive in group settings. Individual activities are often more appropriate until the mania is better controlled.

E.Clients in a manic state may be too restless to sit down for meals. Offering finger foods allows them to eat while on the go, helping to maintain adequate nutrition.

F.Clients with mania may exhibit aggressive behaviors. Redirecting these behaviors to safer or more appropriate outlets is important for the safety of the client and others.

G.The client's vital signs indicate an increase in heart rate and blood pressure, which are important to monitor closely as they can be affected by the heightened physical activity and agitation associated with mania.

H.Lithium can cause fluid retention and weight gain. Daily weight monitoring helps detect sudden increases that may indicate fluid imbalance or early signs of lithium toxicity. It also assists in managing and adjusting treatment as needed to prevent complications.

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A nurse is reinforcing discharge teaching with a client who had a right total hip arthroplasty. Which of the following Instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is ["A","B","C","E","F","G","H"]

Explanation

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