The client has had a total hip replacement. The nurse teaches the client about safe positions for the client for sexual intercourse. These include: (SELECT ALL THAT APPLY)

side-lying on unaffected side with pillows between the legs.

side-lying on affected side.

on hands and knees.

Client on top.

Supine

Answer and Explanation

Correct Answer : A,E

A. Side-lying on the unaffected side with pillows between the legs can maintain proper hip alignment and prevent dislocation, which is critical after a hip replacement.

B. Side-lying on the affected side could cause risk of hip dislocation and is not recommended.

C. The "on hands and knees" position should be avoided as it may place strain on the hip joint and cause dislocation.

D. "Client on top" is typically not recommended as it can lead to excessive flexion or rotation of the hip, which could lead to dislocation.

E. Lying supine can also be a safe position if the client avoids bending the hip past 90 degrees, which could cause dislocation.

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Correct Answer is B

Explanation

A. While pain may increase if the knee is positioned improperly, the primary concern is the development of a contracture.

B. Placing a pillow under the knee after total knee replacement can promote a flexion contracture, which results in the inability to fully extend the knee. This is undesirable as it can limit mobility and function post-surgery.

C. The pillow does not stop circulation to the extremity directly.

D. A pillow under the knee is not typically associated with skin breakdown unless the client is immobile for extended periods, but the risk of contracture is a more immediate concern.

A. bleeding disorders. B. a current infection. C. immobility. D. advanced osteoporosis. E. severe pain

Correct Answer is ["A","B","D"]

Explanation

A. Bleeding disorders pose a risk of excessive bleeding during and after surgery.

B. An active infection can complicate the healing process and increase the risk of prosthetic joint infection.

C. While immobility may indicate a need for the surgery, it is not a contraindication.

D. Advanced osteoporosis can compromise the bone's ability to support the prosthetic, making surgery less viable.

E. Severe pain is one of the primary indications for considering hip replacement surgery.

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The client has had a total hip replacement. The nurse teaches the client about safe positions for the client for sexual intercourse. These include: (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:

Correct Answer is B

Explanation

A client is being considered for a total hip replacement. The nurse understands that contraindications for this procedure include: (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","D"]

Explanation

A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:

Your neighbor returns home from the Emergency Department following treatment for a right ankle sprain and asks you, a nurse, to explain what will happen now that he is home. You recognize that continuing short term treatment will most likely include: (SELECT ALL THAT APPLY)

Which of these deformities is associated with osteoarthritis? (SELECT ALL THAT APPLY).

Which of these education points would be MOST helpful for the nurse give to a individual with osteoarthritis? (SELECT ALL THAT APPLY).

A nurse is caring for a client postoperative closed reduction of the left ankle with a short cast in place. Which assessments of the client's affected leg should the nurse make? (SELECT ALL THAT APPLY)

The nurse is transcribing a medication order and schedules dosing for 1000, 1400 and 1800. Which medication order is consistent with this schedule?

Which statement made by the client to the nurse indicates a precipitating factor associated with pain?

A nurse is caring for a client with a herniated disc who has undergone a lumbar laminectomy and diskectomy at L4-5. When assisting the client to move in bed, the nurse should include what specific technique?