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 B
Explanation
A. Acutely inflamed joints respond best to heat therapy. Heat therapy is generally used to relieve chronic stiffness in RA but acutely inflamed joints typically respond better to cold therapy to reduce inflammation.
B. It’s important to monitor all body systems for effects of the disease. Correct. RA is a systemic autoimmune disease that can affect multiple body systems, not just the joints, unlike osteoarthritis, which is primarily a degenerative joint disease.
C. Exercise is poorly tolerated and frequent rest is needed. While rest is important during acute flare-ups, regular, gentle exercise is crucial in managing RA to maintain joint function and muscle strength.
D. Injury and age are the greatest contributors to disease development. RA is an autoimmune disorder with a different etiology than osteoarthritis, which is more related to wear and tear and aging.
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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