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A resident returns to the long-term care center after a right total hip replacement. The nurse should reinforce teaching for maintaining which of the following postoperative leg positions?

Legs in adduction

More than 90-degree hip flexion

Internal leg rotation

Legs in abduction

Answer and Explanation

The Correct Answer is D

Choice A reason: Legs in adduction can increase the risk of dislocation after hip replacement surgery.

Choice B reason: Flexing the hip more than 90 degrees can also increase the risk of dislocation.

Choice C reason: Internal rotation of the leg can lead to dislocation of the new hip joint.

Choice D reason: Maintaining the legs in abduction helps to stabilize the hip and prevent dislocation.

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Correct Answer is B

Explanation

Choice A reason: Evaluation is the final step of the nursing process, where the nurse determines the effectiveness of the nursing care provided.

Choice B reason: Assessment is the correct part of the nursing process for the mental status examination, as it involves collecting data about the patient.

Choice C reason: Planning involves setting goals and choosing appropriate nursing actions based on the assessment data.

Choice D reason: Implementation is the step where the nurse carries out the planned interventions.

A. Urine output 18 mL/hr. B. Blood pressure 88/50 mmHg. C. Lethargy. D. Pulse 110 bpm.

Correct Answer is A

Explanation

Choice A reason: A urine output of 18 mL/hr is significantly lower than the normal range (typically around 0.5-1 mL/kg/hr), indicating possible renal hypoperfusion, an early sign of shock.

Choice B reason: While blood pressure is an important indicator, it may not drop until later stages of shock.

Choice C reason: Lethargy can be a sign of shock, but it is a more subjective and later symptom compared to the objective measure of urine output.

Choice D reason: An elevated pulse is a compensatory mechanism in shock, but it is not as specific an early indicator as a decrease in urine output.

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A resident returns to the long-term care center after a right total hip replacement. The nurse should reinforce teaching for maintaining which of the following postoperative leg positions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The mental status examination takes place during which part of the nursing process?

Correct Answer is B

Explanation

The nurse is caring for a 52-year-old male patient with a bowel obstruction. Which of these signs would be the earliest indicator to the nurse that the patient is developing symptoms of shock?

Correct Answer is A

Explanation

Patients who display very bizarre behavior but who are still functional in society are most likely to have which of the following types of personality disorder?

After positioning the patient on the surgical table and applying the safety strap, the surgical team pauses and verifies the patient and surgical information. What is this called?

Melva is scheduled for an elective surgery. The surgeon comes to the preoperative area to review the surgical procedure with her. Alternatives are discussed, along with the benefits and risks associated with the surgery. Melva says she understands everything. This is:

A patient is receiving IV fluids at 100 mL per hour. Which assessment findings would indicate fluid volume excess? (Select all that apply.)

Symptoms of Post-Traumatic Stress Disorder include: (select all that apply)

Mr. Thomas is chastised by his boss for failing to complete an assignment. When he arrives home, he slaps his son when the boy is slow in performing his chores. Mr. Thomas is displaying:

Which of the following does the nurse implement to prevent postoperative respiratory complications for a patient? (Select all that apply)