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 A

Explanation

A. "Arteriolar vasoconstriction occurs, most often in the fingertips with symptoms of coldness, pain, and pale skin.": Raynaud disease involves episodes of vasospasm in the small arteries and arterioles, primarily in the fingers and toes, leading to symptoms like coldness, pain, pallor, and sometimes color changes in the skin.
B. "Peripheral vasospasm occurs in the lower limbs as a result of valve damage from long-standing venous stasis.": This description is more characteristic of venous insufficiency or chronic venous stasis rather than Raynaud disease, which affects the small arteries in the extremities.
C. "Arterial vessel occlusion is caused by many clots that develop in the heart and are carried to the bloodstream.": This describes an embolic event rather than the vasospasm typical of Raynaud disease.
D. "Thrombosis related to prolonged vasoconstriction caused by overexposure to the cold occurs.": While exposure to cold can trigger Raynaud's symptoms, the primary issue is episodic vasospasm, not thrombosis. Raynaud’s is not characterized by blood clot formation.

A. Provide names of support groups. B. Schedule an annual physical examination. C. Refer the patient to a free clinic. D. Refer the patient for financial assistance.

Correct Answer is C

Explanation

A. Provide names of support groups: While support groups can offer emotional and educational support, they do not address the immediate financial barrier to obtaining necessary medications.
B. Schedule an annual physical examination: Regular check-ups are important, but they do not directly address the issue of medication affordability and access to care.
C. Refer the patient to a free clinic: Free clinics often provide low-cost or no-cost medications and healthcare services, which can help the patient access the necessary treatments and follow-up care.
D. Refer the patient for financial assistance: Financial assistance programs can be helpful, but they might take time to apply and be approved. Immediate referral to a free clinic can provide more immediate support.

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Naxlex Comprehensive Predictor Exams

A patient has been diagnosed with Raynaud's disease and asks the nurse what occurs with this disease. Which of the following is the most appropriate response?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

The nurse is providing teaching to a patient with Buerger disease. Which of the following statements by the patient would the nurse evaluate as indicating understanding about Buerger disease?

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?

The nurse is caring for a patient with a fracture. Which complications should the nurse monitor for? Select all that apply.

Which term(s) would the E's in the LIFESTYLE acronym represent when reinforcing teaching to a patient about lifestyle modifications? Select all that apply.

The nurse is assisting with patients in an orthopedic unit. Which is an important factor to remember when caring for patients after a total hip replacement?

The nurse is caring for a group of patients. Which patient is the priority?

The nurse is collecting data on a patient with bilateral acute venous insufficiency. Which of the following clinical manifestations would be a priority for the nurse to report?