The client has just returned to the surgical unit following femoral-popliteal bypass surgery of the right leg. The nurse should place the client in which position?

Supine with the right leg extended and flat

High-Fowler's with the right leg extended

Semi-Fowler's with the right leg on two pillows

Supine with the right leg flexed at a 45-degree angle

Answer and Explanation

The Correct Answer is C

A.   This position can increase pressure on the surgical site and hinder blood flow.
B.   This position can also increase pressure on the surgical site and may be uncomfortable for the client.
C.   This position promotes venous return, reduces swelling, and minimizes pressure on the surgical site.
D.   This position can increase pressure on the surgical site and may hinder blood flow.

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Correct Answer is ["37.5"]

Explanation

Drip rate (drops per minute) = (Volume to be infused (mL) x Drop factor) / Time (minutes)

3 hours = 3 * 60 = 180 minutes
Drip rate = (450 mL x 15 drops/mL) / 180 minutes Drip rate = 6750 / 180
Drip rate = 37.5 drops per minute
Therefore, the nurse should regulate the IV at a rate of 37.5 drops per minute.

A. Use aspirin or ibuprofen for pain relief as instructed by package insert B. Omit green, leafy vegetables completely from your diet C. Obtain a medical alert bracelet D. Use an electric razor for shaving E. Obtain prothrombin time (PT) & activated partial prothrombin time as directed

Correct Answer is ["C","D","E"]

Explanation

A. Clients on warfarin should generally avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin and ibuprofen, as these can increase the risk of bleeding. Instead, acetaminophen is often recommended for pain relief, but it should be used cautiously and under a healthcare provider’s guidance.
B. While vitamin K found in green, leafy vegetables can affect warfarin levels, clients do not need to eliminate these foods entirely. Instead, they should maintain a consistent intake of vitamin K-rich foods to help manage their INR levels. Sudden changes in diet can lead to fluctuations in anticoagulation control.
C. It is important for clients taking warfarin to wear a medical alert bracelet. This alerts healthcare providers in case of an emergency, as the client may require special care due to their anticoagulant therapy.

D. Using an electric razor is a safer option for clients on warfarin as it reduces the risk of cuts and bleeding compared to using a traditional razor. This is an important safety measure for those on anticoagulation therapy.
E. Monitoring prothrombin time (PT) and International Normalized Ratio (INR) is essential for clients on warfarin to ensure they are within the therapeutic range. Regular testing helps to manage the dosage effectively and minimize the risk of bleeding or thrombosis.

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The client has just returned to the surgical unit following femoral-popliteal bypass surgery of the right leg. The nurse should place the client in which position?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is ordered 450 ml of Normal Saline Solution over 3 hours. The drop factor on the IV tubing is 15 drops per ml. At what rate should the nurse regulate the IV?

Correct Answer is ["37.5"]

Explanation

The nurse is providing teaching to a client who is being discharged with a prescription for warfarin. Which information should be included in the teaching for this medication? (SELECT ALL THAT APPLY)

Correct Answer is ["C","D","E"]

Explanation

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The client has just returned to the surgical unit following femoral-popliteal bypass surgery of the right leg. The nurse should place the client in which position?