A patient with osteoarthritis is scheduled for a total knee arthroplasty. The nurse identifies that the surgery will be postponed if the patient experiences which condition?
Chronic joint inflammation
Pain
Infection
Immobility
The Correct Answer is C
A. Chronic joint inflammation is a common feature of osteoarthritis, but it does not necessarily preclude surgery. In fact, joint inflammation is often a reason for considering a total knee arthroplasty.
B. Pain is a typical symptom of osteoarthritis, but it is not a reason to postpone surgery. Pain management can be addressed during the perioperative period.
C. Infection is a critical factor that would delay surgery. If the patient has an active infection, particularly in the joint or surrounding tissues, the risk of spreading the infection during surgery is high, and the procedure would need to be postponed until the infection is resolved.
D. Immobility is a concern for postoperative recovery but does not typically delay surgery. Physical therapy and rehabilitation can address immobility after the procedure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
- Atrial fibrillation is characterized by an irregular, often rapid heart rate that can lead to poor blood flow. The client's symptoms of a "fluttering" and "racing" heartbeat, dizziness, and shortness of breath, along with the irregular cardiac rhythm and unclear P waves, are indicative of atrial fibrillation.
- Obtaining a 12 lead ECG is essential to confirm the diagnosis and assess the extent of the arrhythmia.
- Administering an anticoagulant is crucial to prevent thromboembolic events, such as stroke, which are common complications of atrial fibrillation.
- Monitoring for manifestations of stroke is important because atrial fibrillation increases the risk of stroke.
- PT/INR should be monitored to ensure the effectiveness and safety of anticoagulant therapy.
Correct Answer is C
Explanation
A. Dyspnea (difficulty breathing) may occur as the cancer progresses and affects the airway, but it is not typically the earliest manifestation of laryngeal cancer.
B. Weight loss can be a late manifestation of cancer, often associated with systemic effects, but it is not the first sign of laryngeal cancer.
C. Hoarseness is the earliest and most common symptom of laryngeal cancer. It occurs because the tumor affects the vocal cords, causing changes in the voice. This symptom often appears early in the disease process, especially in individuals with a history of smoking.
D. Dysphagia (difficulty swallowing) can occur as the tumor progresses and obstructs the throat, but it is usually a later symptom and not the first sign of laryngeal cancer.
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