The nurse is teaching a postoperative client measures to reduce the risk of postoperative complications. Which teaching point would the nurse reinforce to decrease the risk of thrombophlebitis and phlebothrombosis?

Avoid crossing the legs.

Massage the calves and thigh.

Prop pillows under knees.

Encourage ambulation twice daily.

Answer and Explanation

The Correct Answer is A

A. Avoid crossing the legs: Crossing the legs can impede venous return by compressing the veins in the leg therefore increasing the risk of clot formation in the lower extremities. Teaching clients to keep legs uncrossed helps maintain proper circulation and reduces venous stasis postoperatively.
B. Massage the calves and thigh: Massaging the legs can dislodge an existing thrombus, leading to a potential pulmonary embolism. This practice is contraindicated in clients at risk for deep vein thrombosis (DVT).
C. Prop pillows under knees: Placing pillows under the knees promotes venous stasis by compressing the popliteal vein. This can increase the risk of thrombophlebitis and should be avoided in post-op care.
D. Encourage ambulation twice daily: Although ambulation is beneficial, twice daily may not be frequent enough to adequately promote circulation. More regular movement and leg exercises are typically recommended to prevent clot formation.

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Free Nursing Study Resources

Correct Answer is ["A","B","E"]

Explanation

A. Take all antipsychotic medications as directed: Adherence is critical for managing symptoms and preventing relapse. Antipsychotics must be taken consistently and exactly as prescribed to maintain therapeutic effectiveness and minimize side effects.
B. Notify the health care provider if you have hypertension or severe muscle stiffness: These symptoms may indicate serious adverse effects, such as neuroleptic malignant syndrome. Prompt reporting allows for early intervention and prevention of life-threatening complications.
C. Double the next dose if you forget one dose: Doubling the dose increases the risk of overdose and severe side effects. Clients should be instructed to take the next dose as scheduled and never compensate for missed doses.
D. Stop the medication for any side effects: Suddenly stopping antipsychotics can lead to symptom rebound or withdrawal effects. Side effects should be discussed with the provider, who can adjust the dose or switch medications safely.
E. Report any rhythmic, involuntary movements of the tongue, face, mouth, jaw, or extremities immediately: These are signs of tardive dyskinesia, a potentially irreversible side effect of long-term antipsychotic use. Early detection is essential to prevent progression and guide changes in therapy.

A. “There are fibrous cysts in the lungs." B. "The mucus-secreting glands are abnormal." C. "Allergic reactions cause inflammation in the lungs." D. "Early treatment can stop the progression of the disease."

Correct Answer is B

Explanation

A. "There are fibrous cysts in the lungs.": While lung damage and scarring (fibrosis) occur in cystic fibrosis, the primary issue is the abnormal mucus, not the presence of pre-existing fibrous cysts. Cystic fibrosis does not involve actual fibrous cysts in the lungs but rather thick, sticky mucus that clogs airways and promotes infection.
B. "The mucus-secreting glands are abnormal.": Cystic fibrosis is a genetic disorder that affects exocrine glands, leading to abnormally thick and sticky mucus. This affects the lungs, pancreas, and other organs, making this statement accurate.
C. "Allergic reactions cause inflammation in the lungs.": Cystic fibrosis is not caused by allergies or immune responses. Lung damage results from mucus accumulation and chronic infections, not allergic inflammation.
D. "Early treatment can stop the progression of the disease.": Early treatment can slow progression and improve quality of life but cannot stop the disease. Cystic fibrosis remains a lifelong, progressive condition despite medical advances.

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The nurse is teaching a postoperative client measures to reduce the risk of postoperative complications. Which teaching point would the nurse reinforce to decrease the risk of thrombophlebitis and phlebothrombosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge instructions to the client being prescribed antipsychotic medications. Which discharge instruction(s) should be included? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

Which statement would indicate that the parents of child with cystic fibrosis understand the disorder?

Correct Answer is B

Explanation

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