A nurse is reviewing home recommendations with a client who is postoperative following knee surgery. Which of the following recommendations should the nurse make?

Ensure that all area rugs are rubber-backed.

Wear slippers with cloth soles.

Place a towel on the floor outside of the shower.

Place a handrail in the entryway of the house.

Answer and Explanation

The Correct Answer is A

A) Ensure that all area rugs are rubber-backed: Rubber-backed rugs help prevent slips and falls by keeping the rugs securely in place on the floor. This is particularly important for someone recovering from knee surgery to avoid additional injury and ensure a safe home environment.

B) Wear slippers with cloth soles: Slippers with cloth soles can be slippery and increase the risk of falls. It is safer to wear slippers with non-slip soles to provide better traction and stability.

C) Place a towel on the floor outside of the shower: Placing a towel on the floor can create a slipping hazard. Instead, using a non-slip bath mat outside the shower is recommended to prevent falls.

D) Place a handrail in the entryway of the house: While placing a handrail in the entryway can be beneficial, it is not as immediately critical as ensuring that area rugs are rubber-backed to prevent falls throughout the home. Handrails are more commonly recommended for stairs and bathrooms.

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Correct Answer is D

Explanation

A) Kaposi's sarcoma lesions: Kaposi's sarcoma is a cancer that commonly appears in individuals with immunocompromised states, such as those with HIV/AIDS. It is not associated with systemic lupus erythematosus (SLE). Therefore, finding Kaposi's sarcoma lesions would not be expected in a client with SLE.

B) Hemangiomas: Hemangiomas are benign vascular tumors typically seen in infants and children. While they can occur in various skin conditions, they are not characteristic of systemic lupus erythematosus. Thus, finding hemangiomas would not be relevant in this context.

C) Psoriasis: Psoriasis is a chronic autoimmune condition that causes red, scaly patches on the skin. While both psoriasis and lupus are autoimmune disorders, the specific skin manifestations of lupus differ from those of psoriasis. Therefore, a nurse would not expect to find psoriasis in a client with systemic lupus erythematosus.

D) Raised facial rash: A raised facial rash, often described as a "butterfly rash," is a classic manifestation of systemic lupus erythematosus. This rash typically appears across the cheeks and nose and is associated with photosensitivity, making it a key finding when assessing clients with SLE. Thus, the presence of a raised facial rash is an expected and significant finding in this condition.

A. Take a hot shower every day. B. Limit dietary intake of phosphorus. C. Place a large pillow under the knees when sleeping. D. Place an ice pack directly on the skin of the affected joints.

Correct Answer is A

Explanation

A. Take a hot shower every day: This is a beneficial nonpharmacological pain management technique for clients with osteoarthritis. Warm water can help relax muscles and soothe joint stiffness, providing relief from pain.

B. Limit dietary intake of phosphorus: This is not directly related to pain management in osteoarthritis. While managing overall nutrition is important, phosphorus specifically does not need to be limited unless there are other underlying health conditions.

C. Place a large pillow under the knees when sleeping: This instruction may not be optimal. While some support can be helpful, using a pillow under the knees can cause misalignment of the spine. A more neutral sleeping position is generally recommended.

D. Place an ice pack directly on the skin of the affected joints: Applying ice directly to the skin can cause frostbite or skin damage. It's better to use a cloth or towel as a barrier when applying an ice pack to avoid direct contact and protect the skin.

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A nurse is reviewing home recommendations with a client who is postoperative following knee surgery. Which of the following recommendations should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has systemic lupus erythematosus. Which of the following client findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is providing teaching about nonpharmacological pain management to a client who has osteoarthritis. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

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