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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Pallor following elevation of the right leg. Pallor is not a typical sign of hip dislocation.

B. Bulging in the area over the surgical incision. This could indicate a hematoma or infection, not specifically dislocation.

C. Sensation of warmth over the surgical site. Warmth can indicate infection or inflammation, but is not a primary sign of dislocation.

D. Shortening of the right leg. Correct. Shortening of the leg is a classic sign of hip dislocation post-arthroplasty.

A. Rhabdomyolysis is caused by a viral infection. B. Rhabdomyolysis is a chronic condition that cannot be treated. C. Rhabdomyolysis is a condition characterized by the breakdown of muscle tissue. D. Rhabdomyolysis is a respiratory disorder that affects lung function.

Correct Answer is C

Explanation

A. Rhabdomyolysis is caused by a viral infection: While viral infections can sometimes contribute, rhabdomyolysis is not primarily caused by them. It is usually due to muscle injury from trauma, exercise, drugs, or other factors.

B. Rhabdomyolysis is a chronic condition that cannot be treated: Rhabdomyolysis is an acute condition that can be treated, primarily by managing the complications and addressing the underlying cause.

C. Rhabdomyolysis is a condition characterized by the breakdown of muscle tissue: This is the correct definition. Rhabdomyolysis involves the breakdown of muscle tissue, releasing myoglobin into the bloodstream, which can lead to kidney damage.

D. Rhabdomyolysis is a respiratory disorder that affects lung function: Rhabdomyolysis is not a respiratory disorder. It primarily affects the muscles and kidneys.

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The nurse is caring for an older adult patient who is postoperative from a total hip replacement. What PRIORITY care is anticipated postoperatively?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 3 days post-operative from a right hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should examine the client for which of the following manifestations of dislocation of the hip prosthesis.

Correct Answer is D

Explanation

Which of the following statements about rhabdomyolysis is true?

Correct Answer is C

Explanation

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