A nurse on a medical-surgical unit is caring for four patients who are 24 to 36 hours postoperative. Which of the following surgical procedures places the patient at risk for deep-vein thrombosis?

Hip arthroplasty

Cataract extraction

Myringotomy

Laparoscopic appendectomy

Answer and Explanation

The Correct Answer is A

Choice A rationale
Hip arthroplasty, or hip replacement surgery, is a procedure that has been associated with a higher risk of deep vein thrombosis (DVT)8910. This is due to factors such as the length of the

procedure, the immobility of the patient during and after the procedure, and the location of the surgery in the lower extremities.
Choice B rationale
Cataract extraction is not typically associated with a high risk of DVT8910. This is a relatively quick and minimally invasive procedure, and it does not involve the lower extremities, which are the most common sites for DVT8910.
Choice C rationale
Myringotomy, a procedure to drain fluid from the middle ear, is not associated with a high risk of DVT8910. This is a quick and minimally invasive procedure, and it does not involve the lower extremities.
Choice D rationale
Laparoscopic appendectomy, while a surgical procedure, is not typically associated with a high risk of DVT8910. The risk of DVT is generally lower with laparoscopic procedures compared to open surgeries.

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Correct Answer is B

Explanation

Choice A rationale
While emotional concerns are important to address in a holistic care approach, they are not the initial course of action when a client is admitted due to an acute exacerbation of ulcerative colitis. Emotional concerns are usually addressed once the client’s physical condition is stabilized.
Choice B rationale
Checking the client’s perianal skin integrity is a crucial initial step when a client is admitted due to an acute exacerbation of ulcerative colitis. Ulcerative colitis can cause rectal bleeding and diarrhea, which can lead to skin breakdown in the perianal area. Therefore, assessing for skin integrity helps in early detection and management of potential skin complications.
Choice C rationale
Obtaining a dietary history from the client is important but not the initial course of action in this scenario. Dietary history is usually obtained once the client’s condition is stabilized and when planning for discharge or dietary modifications.
Choice D rationale
Reviewing the client’s electrolyte values is important in managing ulcerative colitis, but it’s not the initial course of action. Electrolyte imbalances can occur due to diarrhea and

malabsorption, which are common in ulcerative colitis. However, this is usually done after initial physical assessments and stabilization of the client.

A. I will limit my fluid intake to 1 liter per day. B. I will take one aspirin every day. C. I will strictly adhere to a high-purine diet. D. I will restrict my alcohol consumption.

Correct Answer is D

Explanation

Choice A rationale
Limiting fluid intake to 1 liter per day is not recommended for patients who have experienced an acute gout attack. Adequate hydration is important for all individuals, especially those with gout, as it can help to prevent the formation of uric acid crystals.
Choice B rationale
Taking one aspirin every day is not typically recommended for gout patients. Aspirin can actually increase uric acid levels in the blood and potentially trigger a gout attack.
Choice C rationale
Adhering to a high-purine diet is not recommended for gout patients. Foods high in purines can increase uric acid levels in the blood, potentially triggering a gout attack.

Choice D rationale
Restricting alcohol consumption is a key part of managing gout. Alcohol, especially beer, can increase uric acid levels in the blood and trigger gout attacks.

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A nurse on a medical-surgical unit is caring for four patients who are 24 to 36 hours postoperative. Which of the following surgical procedures places the patient at risk for deep-vein thrombosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is attending to a client who has just been admitted due to an acute exacerbation of ulcerative colitis. What should be the nurse’s initial course of action?

Correct Answer is B

Explanation

A nurse is providing discharge education to a patient who recently experienced an acute gout attack. Which patient statement indicates they have understood the treatment plan?

Correct Answer is D

Explanation

A nurse is educating a patient about the risk factors for GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include?

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