A nurse is reviewing the prescriptions for a client who is postoperative following a total hip arthroplasty. Which of the following prescriptions should the nurse clarify with the provider?
Instruct the client to limit flexion of the hips no further than 100".
Perform range-of-motion exercises every 2 hr.
Reposition the client every 2 hr.
Place an abduction pillow between the legs.
The Correct Answer is A
A. Limiting hip flexion to 100" is an incorrect and potentially unsafe prescription. Such a restriction would severely limit the client's mobility and could impede the recovery process following a total hip arthroplasty. The nurse should clarify this prescription with the provider to ensure that the client is given appropriate instructions for postoperative care.
B. Performing range-of-motion exercises every 2 hours is a standard and appropriate prescription for a postoperative client after a total hip arthroplasty. These exercises help prevent joint stiffness and promote circulation.
C. Repositioning the client every 2 hours is a standard practice to prevent complications such as pressure ulcers and promote comfort and circulation.
D. Placing an abduction pillow between the legs is a common practice after a total hip arthroplasty. It helps maintain proper hip alignment and prevents dislocation of the prosthetic hip joint during the initial postoperative period.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The statement "Libel is the intentional infliction of emotional distress due to negligent nursing actions" is incorrect. Libel refers to written or published false statements that damage a person's reputation. It is not related to intentional infliction of emotional distress or negligence in nursing actions. This statement reflects a misunderstanding of the concept of libel.
B. The statement "Documenting negative opinions about a client's personality is considered libel" is also incorrect. Libel involves false statements, and expressing negative opinions, even in documentation, may not necessarily qualify as false unless they are untrue statements. However, negative opinions about a client's personality may be considered unprofessional or inappropriate, but they do not constitute libel.
C. The statement "Failing to complete an incident report following a client injury is an act of libel" is incorrect. Libel is related to false statements, and failing to complete an incident report is a failure in documentation but does not inherently involve making false statements. This statement demonstrates a misunderstanding of what constitutes libel.
D. The statement "A nurse can be charged with libel if she discusses client information in a public area" is correct. Discussing client information in a public area, where unauthorized individuals may overhear and obtain sensitive information, can be a violation of confidentiality. While it may not strictly be libel, it could lead to legal and ethical consequences. This statement reflects an understanding of the importance of maintaining client confidentiality and the potential legal implications of disclosing private information in public areas.
Correct Answer is D
Explanation
A. Medication administration record:
The medication administration record (MAR) primarily contains information related to medications, dosages, and administration times. While it provides important details about medications, it may not offer a comprehensive overview of the client's overall care.
B. Standardized care plan:
A standardized care plan typically outlines general care guidelines and interventions for specific conditions. It may provide a structured approach to care but might lack the individualized details needed for a specific client.
C. 180 record:
The term "180 record" does not commonly refer to a standard nursing documentation form. It might be a local or facility-specific term. Without additional information, it's unclear what type of information this form would contain.
D. Client care Kardex:
This is the correct answer. The Client care Kardex, also known as the patient care summary or Kardex, is a document that consolidates key information about a client's care, including diagnoses, treatments, procedures, and other relevant details. It provides a snapshot of the client's current status and facilitates communication among healthcare providers.
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