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 A
Explanation
A. Log off the computer to attend the client's needs:
Logging off ensures that the client’s health information is protected, maintaining confidentiality and compliance with HIPAA regulations. This prevents unauthorized access to sensitive information when the nurse is away from the computer.
B. Complete the documentation before going to the client's room:
While completing documentation is important, the nurse should prioritize responding to the immediate needs of the client. The nurse can return to complete the documentation afterward.
C. Leave the computer in the hallway:
Leaving the computer unattended in the hallway poses a security risk and compromises the confidentiality of the client's information.
D. Minimize the screen while addressing the client's needs:
Minimizing the screen does not secure the information on the computer. It can still be accessed by others, potentially leading to breaches of client confidentiality.
Correct Answer is ["0.5"]
Explanation
To calculate the number of tablets the nurse should administer, you can use the following formula:
Number of Tablets =Total Dose (mg)/Dose per Tablet (mg)
In this case:
Number of Tablets=2.5 mg/5 mg/tablet
Number of Tablets=0.5
Therefore, the nurse should administer 0.5 tablet of lisinopril 5 mg to achieve the prescribed dose of 2.5 mg, rounded to the nearest tenth.
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