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 B

Explanation

A. Explain the use of assistive devices. While explaining the use of assistive devices is important, it is not the primary preoperative care focus.

B. Clean skin with antibacterial skin cleaning cloths. Correct. Preoperative skin cleaning with antibacterial cloths is crucial to reduce the risk of postoperative infections.

C. Teach postoperative exercises. Teaching postoperative exercises is important but is typically part of preoperative education rather than immediate preoperative care.

D. Ask if a consent form was signed. Ensuring that consent forms are signed is necessary but is not the primary preoperative care focus.

A. Use a pillow to prop your arm close to the ear. B. Position your arm with the shoulder at a 90-degree angle. C. Hold the arm against the side of your body. D. Keep your arm bent at the elbow

Correct Answer is C

Explanation

A. Use a pillow to prop your arm close to the ear. This instruction would position the arm in abduction, not adduction. Adduction involves bringing the arm closer to the body, not away from it.

B. Position your arm with the shoulder at a 90-degree angle. This would also position the arm in abduction, as a 90-degree angle would place the arm away from the body.

C. Hold the arm against the side of your body. Adduction means bringing the arm closer to the midline of the body, which is achieved by holding the arm against the side.

D. Keep your arm bent at the elbow. This instruction focuses on the elbow rather than the shoulder. Adduction refers to the shoulder's position relative to the body.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing preoperative care for a patient who is scheduled for joint replacement the next day. What should the nurse include with care?

Correct Answer is B

Explanation

A nurse is caring for a client who is postoperative following shoulder surgery. The client has a prescription to keep the affected arm adducted. Which of the following instructions should the nurse provide the client?

Correct Answer is C

Explanation

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