The nurse turns a 2-day postoperative patient with a right total hip replacement using pillows between the legs. The nurse later returns and finds the patient lying supine with legs crossed. Which of the following should the nurse immediately observe to determine whether a complication has developed?

The right leg for shortening

The left leg for internal rotation

The left leg for loss of function

The right knee for crepitation

Answer and Explanation

The Correct Answer is A

Correct answer: A
A. The right leg for shortening: This is the most critical observation because crossing the legs after a hip replacement can cause hip dislocation. A shortened leg can be a sign of dislocation, which is a serious complication that requires immediate attention.
B. The left leg for internal rotation: Internal rotation is more of a concern for the operated leg (the right leg), not the left leg, in this context.
C. The left leg for loss of function: This is less relevant unless there is concern about a complication in the left leg, which is not directly related to the issue of crossing legs post-surgery.
D. The right knee for crepitation: Crepitation refers to a crackling sound and is more associated with joint issues rather than an indicator of hip dislocation.

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Correct Answer is C

Explanation

A. Diabetes mellitus: While diabetes can cause peripheral vascular disease, it alone does not specifically cause intermittent claudication (pain on exertion relieved by rest).
B. Calcium deficiency: Calcium deficiency is not typically associated with intermittent claudication or peripheral vascular symptoms.
C. Peripheral vascular problems in both legs: This is correct. The symptoms described are classic for intermittent claudication, which is commonly due to peripheral arterial disease (PAD). PAD causes pain due to reduced blood flow to the muscles during exertion, which is relieved by rest.
D. An acute obstruction in the vessels of the legs: Acute obstruction would likely cause more severe and persistent symptoms, such as acute pain and loss of pulses, not just pain with walking.

A. "You should increase your daily exercise." B. "Eat a low-sodium and low-potassium diet." C. "Oral contraceptives have no effect on stroke risk." D. "Strict blood glucose control is important E. "Excessive alcohol intake can increase your risk."

Correct Answer is ["A","D"]

Explanation

A. "You should increase your daily exercise.": Regular physical activity helps lower blood pressure, improve cardiovascular health, and reduce the risk of stroke.
B. "Eat a low-sodium and low-potassium diet.": While reducing sodium intake is beneficial, potassium is actually important for blood pressure regulation. A diet rich in potassium is often recommended to help manage blood pressure.
C. "Oral contraceptives have no effect on stroke risk.": This statement is incorrect. Some oral contraceptives, especially those with higher estrogen content, can increase the risk of stroke, particularly in women with other risk factors.
D. "Strict blood glucose control is important.": Proper management of blood glucose levels is crucial for preventing stroke, especially in individuals with diabetes, as poorly controlled diabetes can lead to vascular complications.
E. "Excessive alcohol intake can increase your risk.": Excessive alcohol consumption is a known risk factor for hypertension and stroke. Moderation is key to reducing stroke risk.

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Naxlex Comprehensive Predictor Exams

A nurse in an outpatient clinic is collecting data from a client who tells the nurse, "I have pain in my legs when I begin to walk, but the pain stops when I stop walking." Which of the following conditions should the nurse suspect?

Correct Answer is C

Explanation

A patient asks the nurse how to prevent a stroke. Which statement by the nurse is correct? Select all that apply.

Correct Answer is ["A","D"]

Explanation

The nurse is caring for a patient who presents to the emergency department with right-sided weakness and dysphasia. Which type of stroke would the nurse suspect?

What is the term or acronym for a temporary impairment of cerebral circulation that causes symptoms lasting minutes to hours but results in no permanent neurological changes?

A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize which of the following statements by the client indicates a need for further teaching?

When taking blood pressure medications, it is important to reinforce education with the patient on which topics? Select all that apply.

The nurse is contributing to the plan of care for a patient who has a traumatic finger amputation. What should the nurse consider?

The nurse is reinforcing teaching about dietary changes with a patient newly diagnosed with hypertension. What should the nurse include in the teaching about a DASH diet? Select all that apply. (Select All that Apply.)

The nurse provides teaching for a newly diagnosed patient with primary hypertension. Which of the following patient statements about the cause of primary hypertension would indicate the need for further teaching? Select all that apply