A nurse is reinforcing teaching with a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?
Perform range of motion by adducting the hip.
Sit in a straight-backed chair.
Cleanse the surgical incision with hydrogen peroxide.
Apply moist heat to the incision while in bed.
The Correct Answer is B
Choice A reason: Performing range of motion by adducting the hip is an incorrect instruction for a client who had a total hip arthroplasty. Adduction is moving the leg toward the midline of the body, which can cause dislocation of the prosthesis. The nurse should instruct the client to perform range of motion by abducting (moving away from midline), flexing (bending), and extending (straightening) the hip as prescribed by physical therapy.
Choice B reason: Sitting in a straight-backed chair is a correct instruction for a client who had a total hip arthroplasty. This position helps to maintain proper alignment and stability of the hip joint and prevents excessive flexion or rotation that can cause dislocation. The nurse should also instruct the client to avoid crossing legs, bending forward more than 90 degrees, or twisting at the waist.
Choice C reason: Cleansing the surgical incision with hydrogen peroxide is an incorrect instruction for a client who had a total hip arthroplasty. Hydrogen peroxide is a harsh agent that can damage healthy tissue and delay healing. The nurse should instruct the client to cleanse the incision with mild soap and water or as directed by the provider and keep it dry and covered with sterile dressing.
Choice D reason: Applying moist heat to the incision while in bed is an incorrect instruction for a client who had a total hip arthroplasty. Moist heat can increase swelling, inflammation, and infection risk at the incision site. The nurse should instruct the client to apply ice packs or cold compresses to the incision as needed to reduce pain and swelling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is not an appropriate response because it implies that the nurse does not acknowledge or validate the partner's feelings. The nurse should provide emotional support and education to the partner about the normal changes that occur at the end of life.
Choice B reason: This is not an appropriate response because it may cause more distress and fatigue to the client and the partner. The nurse should respect the client's need for rest and allow them to sleep as much as they want.
Choice C reason: This is not an appropriate response because it may interfere with the client's comfort and quality of life. The nurse should avoid unnecessary interventions and medications that may have adverse effects or cause more harm than benefit.
Choice D reason: This is the correct answer because it shows empathy and compassion to the partner and the client. The nurse should encourage the partner to spend time with the client and offer nonverbal communication such as holding hands, stroking hair, or playing soft music.
Correct Answer is D
Explanation
Choice A reason: This is not a therapeutic effect of aprepitant because aprepitant is not an analgesic drug that can relieve pain. Aprepitant is an antiemetic drug that can prevent nausea and vomiting caused by chemotherapy or surgery.
Choice B reason: This is not a therapeutic effect of aprepitant because aprepitant does not affect the balance or vestibular system that can cause dizziness. Aprepitant works by blocking the action of substance P, a neurotransmitter involved in nausea and vomiting.
Choice C reason: This is not a therapeutic effect of aprepitant because aprepitant does not affect the cardiac rhythm or conduction that can cause dysrhythmias. Aprepitant has a low risk of interacting with other drugs that can affect the heart, such as warfarin or digoxin.
Choice D reason: This is a therapeutic effect of aprepitant because aprepitant can prevent nausea and vomiting caused by chemotherapy or surgery by blocking the action of substance P, a neurotransmitter involved in nausea and vomiting. The nurse should monitor the client's oral intake, hydration status, and weight and report any signs of dehydration or malnutrition.
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