Respiratory rate: 18/min

Blood pressure: 132/82 mm Hg SaO2: 96% on room air

Day 2

0600:

Temperature: 38.4°C (101.1°F) Heart rate: 92/min

Respiratory rate: 24/min

Blood pressure: 142/80 mm Hg SaO2: 94% on room air

For each potential precaution, click to specify if the precaution is indicated or contraindicated for a client who has had a total hip arthroplasty.

Encourage the client to cough and deep breathe every 2 hr.

Obtain a culture of the drainage from the surgical site.

Anticipate the administration of antibiotics.

Ensure an abductor pillow is in place while the client is in bed.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"E":{"answers":"A"}}

A. Encourage the client to cough and deep breathe every 2 hr.
Indicated - Encouraging coughing and deep breathing helps prevent postoperative complications like atelectasis and pneumonia.

B. Obtain a culture of the drainage from the surgical site.
Indicated - It's important to monitor for any signs of infection, and obtaining a culture can help identify potential pathogens.

C. Anticipate the administration of antibiotics.
Indicated - A temperature rise could indicate infection, so antibiotics might be necessary to prevent or treat postoperative infections.

D. Request an antiemetic medication.

Indicated - Nausea or vomiting could be a sign of various issues, including reaction to anesthesia or pain medication, so antiemetics might be beneficial.

E. Ensure an abductor pillow is in place while the client is in bed.
Indicated - An abductor pillow helps prevent dislocation of the hip prosthesis by maintaining proper alignment and position of the legs.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Twisting at the waist while lifting can strain the back muscles further and increase the risk of injury.
B. Relaxing abdominal muscles when lifting can result in inadequate support for the back and may worsen the strain.
C. Bending at the knees helps maintain a proper posture and reduces strain on the back muscles while lifting heavy objects.
D. Holding an object away from the body can increase the strain on the back muscles and lead to injury.

A. "Ibuprofen is the first step in medication therapy for osteoarthritis." B. “I will elevate my legs by placing two pillows under my knees when I go to bed." C. "I can use either heat or ice to help relieve the discomfort." D. "I should limit physical activity to prevent further injury."

Correct Answer is C

Explanation

A. While ibuprofen might be part of the treatment, it's not necessarily the first step in managing osteoarthritis.
B. Elevating legs helps with swelling but may not be specifically beneficial for osteoarthritis in the knees.
C. Both heat and ice can be used to alleviate discomfort associated with osteoarthritis.
D. Limiting physical activity can potentially lead to further joint stiffness and weakness, contradicting the goals of managing osteoarthritis.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has strained her back muscles while preparing to move to a new apartment. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse in a medical clinic is providing teaching to an older adult client who hasosteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client who has fractures of the symphysis pubis and pelvis. The nurse should monitor the client for which of the following findings of a common complication of pelvic fractures?

A nurse is assessing a client who has a puncture wound on his foot. Which of the following findings is a manifestation of acute osteomyelitis?

A nurse is preparing to administer indomethacin 75 mg PO bid. Available is indomethacin 25 mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who is postoperative following an open reduction and internal fixation of a fractured femur. Which of the following actions is the most important for the nurse to complete in the postoperative period?

A nurse is teaching a client who is scheduled for dual-energy x-ray absorptiometry (DXA) to screen for osteoporosis. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client who has multiple long bone fractures caused by a motor-vehicle crash that happened 24 hr ago. The client tells the nurse he is short of breath and experiencing chest pain. The nurse should assess the client further for which of the following potential complications?