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?
Explain the use of assistive devices.
Clean skin with antibacterial skin cleaning cloths.
Teach postoperative exercises.
Ask if a consent form was signed.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Use your palms to move the cast. Using the palms prevents indentations that can cause pressure points and potential injury to the patient.
B. Do not move the cast until it is dry. The cast may need to be moved for various reasons, and waiting until it is completely dry may not be practical or safe.
C. Have the patient reposition their own leg. The patient should not move the leg to prevent potential damage or misalignment.
D. Use your fingertips to grasp the cast. Using fingertips can create pressure points and indentations in the still-damp plaster, potentially causing skin breakdown or pressure sores.
Correct Answer is C
Explanation
A. Uric acid levels drop and calcium forms precipitate. Incorrect. Gout is caused by elevated levels of uric acid, not a drop. Calcium precipitates are associated with other conditions such as kidney stones, not gout.
B. Articular cartilage thins, leading to splitting and fragmentation. Incorrect. This describes osteoarthritis, not gout.
C. Uric acid crystal deposit(s) causing inflammation. Correct. Gout occurs due to the deposition of uric acid crystals in joints, leading to inflammation and pain.
D. Tophi form in the kidneys and impair the excretion of uric acid. Incorrect. Tophi are deposits of uric acid crystals found in the joints and other tissues, not specifically in the kidneys.
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