The nurse is caring for an older adult patient who is postoperative from a total hip replacement. What PRIORITY care is anticipated postoperatively?
Provide an elevated toilet seat.
Assist of bed immediately following surgery.
Medicate with pain medications.
Maintain weight bearing as prescribed.
The Correct Answer is D
A. Provide an elevated toilet seat: This is important for preventing hip dislocation but is not the immediate priority.
B. Assist out of bed immediately following surgery: Mobilizing the patient is important to prevent complications such as deep vein thrombosis (DVT) and pneumonia, but this should be done safely and as prescribed.
C. Medicate with pain medications: Pain management is crucial for postoperative recovery but is part of comprehensive care rather than the single priority.
D. Maintain weight bearing as prescribed: Following weight-bearing restrictions is critical to ensure proper healing and prevent complications such as dislocation or prosthetic failure. This is the immediate priority in terms of preventing harm and ensuring recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Provide an elevated toilet seat: This is important for preventing hip dislocation but is not the immediate priority.
B. Assist out of bed immediately following surgery: Mobilizing the patient is important to prevent complications such as deep vein thrombosis (DVT) and pneumonia, but this should be done safely and as prescribed.
C. Medicate with pain medications: Pain management is crucial for postoperative recovery but is part of comprehensive care rather than the single priority.
D. Maintain weight bearing as prescribed: Following weight-bearing restrictions is critical to ensure proper healing and prevent complications such as dislocation or prosthetic failure. This is the immediate priority in terms of preventing harm and ensuring recovery.
Correct Answer is A
Explanation
A. Monitoring pin and wound sites for signs of infection. Correct. Infection at the pin and wound sites is a major risk with external fixation and requires vigilant monitoring and care.
B. Being aware that the patient may experience issues with body image. While body image concerns are important, they are not the primary priority in care.
C. Helping the patient achieve a desired level of mobility. Mobility is important, but the primary concern with external fixation is preventing and managing infections.
D. Providing a caring and supportive attitude during a challenging time. While providing emotional support is important, it is not the primary priority of care for external fixation.
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