A nurse is reinforcing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?
"A heating pad will be used on the operative site to help reduce pain."
"Expect to remain in bed for at least the first 24 hours."
"You will use a continuous passive motion (CPM) machine several times a day."
"You will use a special soap to shower with the evening before your surgery."
The Correct Answer is C
Choice A reason: The use of a heating pad on the operative site is not typically recommended immediately post-surgery due to the risk of bleeding and swelling.
Choice B reason: Patients are encouraged to mobilize as soon as possible after surgery to prevent complications such as deep vein thrombosis and pulmonary embolism.
Choice C reason: The use of a CPM machine is common after total hip replacement surgery to help restore joint function and prevent stiffness.
Choice D reason: Using a special soap the evening before surgery is part of the preoperative preparation to reduce the risk of infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The theory that schizophrenia is primarily related to a disturbed mother-child relationship is outdated and not supported by current research.
Choice B reason: While prenatal factors may contribute to the risk, schizophrenia is not solely caused by brain damage from the mother's use of tranquilizers during pregnancy.
Choice C reason: Alterations in opioid receptors are not currently considered a primary cause of schizophrenia.
Choice D reason: Schizophrenia is considered a brain disorder, with current research focusing on a combination of genetic and environmental factors, brain chemistry, and structure.
Correct Answer is D
Explanation
Choice A reason: A sodium level of 138 milliequivalents per liter is within the normal range and does not indicate metastasis.
Choice B reason: A hemoglobin level of 10.5 grams per deciliter is slightly low but does not specifically indicate metastasis.
Choice C reason: A potassium level of 3.4 milliequivalents per liter is within the normal range and does not indicate metastasis.
Choice D reason: A calcium level of 12.5 milligrams per deciliter is elevated, which may indicate metastasis to the bones, a common site for breast cancer metastasis.

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