Post total joint replacement, the patient needs for the joint to heal prior to sexual activity. What position is best for the patient after a total joint replacement of the hip?

Side lying on the unaffected side.

Lateral Sims position

Reverse trendelenburg position

Patient on the bottom

Answer and Explanation

The Correct Answer is A

A. Side-lying on the unaffected side is the safest position for hip replacement patients to avoid dislocating the affected hip.

B. Lateral Sims position is not appropriate for this scenario.

C. Reverse Trendelenburg position is not related to hip replacement precautions.

D. The patient being on the bottom is not recommended for a hip replacement as it could cause stress on the joint.

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Correct Answer is C

Explanation

A. The patient should not lie down after taking alendronate, as it increases the risk of esophageal irritation.

B. Alendronate should be taken on an empty stomach, and while dairy products should generally be avoided when taking certain medications, this specific instruction applies more to calcium or iron supplements.

C. Alendronate should be taken on an empty stomach, ideally first thing in the morning, with a full glass of water to enhance absorption. The patient must remain upright for 30 minutes to prevent esophageal irritation and reduce the risk of esophageal ulcers.

D. The medication should not be taken with milk or juice, as they can interfere with absorption.

A. Obtain a walker for ambulation B. Apply a diaper C. Insert a Foley catheter D. Notify the physician

Correct Answer is D

Explanation

A. Obtaining a walker does not address the acute neurological symptoms.

B. Applying a diaper addresses the incontinence but not the underlying cause.

C. Inserting a Foley catheter manages urinary incontinence but delays necessary evaluation.

D. Notifying the physician is critical as these symptoms suggest cauda equina syndrome, a surgical emergency.

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Post total joint replacement, the patient needs for the joint to heal prior to sexual activity. What position is best for the patient after a total joint replacement of the hip?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is prescribed alendronate at 0800 for the treatment of osteoporosis. As the nurse you know you must administer this medication:

Correct Answer is C

Explanation

A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?

Correct Answer is D

Explanation

Post total joint replacement, the patient needs for the joint to heal prior to sexual activity. What position is best for the patient after a total joint replacement of the hip?

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