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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. It increases formation of purines. Increasing purine formation would exacerbate gout by increasing uric acid levels.

B. It increases metabolism of purines. Allopurinol does not increase the metabolism of purines.

C. It blocks formation of uric acid. Allopurinol works by inhibiting xanthine oxidase, an enzyme involved in the production of uric acid, thereby reducing uric acid levels in the body.

D. It excretes protein. Allopurinol does not promote protein excretion; it specifically targets uric acid metabolism.

A. Pain unrelieved by routine medications B. Elevated WBC count C. Swelling and redness of the right leg D. Decreased oxygen saturation

Correct Answer is A

Explanation

A. Pain unrelieved by routine medications: Pain unrelieved by medication is a hallmark sign of compartment syndrome, a serious condition that requires immediate intervention.
B. Elevated WBC count: An elevated WBC count indicates infection but is not a specific sign of compartment syndrome.
C. Swelling and redness of the right leg: While swelling and redness can be present, they are not specific to compartment syndrome and can occur in many other conditions.
D. Decreased oxygen saturation: Decreased oxygen saturation is more commonly associated with respiratory or cardiac issues and is not specific to compartment syndrome.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which patient statement indicates understanding of the action of this medication?

Correct Answer is C

Explanation

A nurse is monitoring a client who has a cast on her right ankle following an open reduction and internal fixation procedure. The nurse should monitor for which of the following findings to identify compartment syndrome?

Correct Answer is A

Explanation

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.

A patient sustains a closed femur fracture of the right tibia and is placed in a long leg plaster cast, which is still damp. Which of the following methods should the nurse use to move the cast to prevent complications?

The nurse is providing care for a patient with an external fixation for a fracture involving severe bone damage. What is the priority of care?

A nurse is reinforcing teaching with a client who has a new diagnosis of gout. The client asks the nurse how she got the disorder. Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who is postoperative following a right total hip arthroplasty. In which of the following positions should the nurse place the client's right leg?

A nurse is reinforcing teaching with a client who has an ankle sprain. Which of the following instructions should the nurse include?

A nurse is collecting data from a client who has multiple fractures in his left leg and reports severe pain and tingling in the extremity. The nurse should suspect which of the following complications?

While collecting data from a client who has a cast on his right leg, a nurse locates an area on the cast that feels warm to the touch. The nurse also notices an odor in the area of the cast. Which of the following findings should the nurse identify as a complication to the client's condition?