The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:

Increase the pain level and need for medication.

encourage the development of a flexion contracture.

stop circulation to the extremity.

cause possible skin breakdown.

Answer and Explanation

The Correct Answer is B

A. While pain may increase if the knee is positioned improperly, the primary concern is the development of a contracture.

B. Placing a pillow under the knee after total knee replacement can promote a flexion contracture, which results in the inability to fully extend the knee. This is undesirable as it can limit mobility and function post-surgery.

C. The pillow does not stop circulation to the extremity directly.

D. A pillow under the knee is not typically associated with skin breakdown unless the client is immobile for extended periods, but the risk of contracture is a more immediate concern.

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Correct Answer is ["1700"]

Explanation

1. Calculate the remaining volume of fluid:

Remaining volume = Total volume - Volume infused

Remaining volume = 1000 mL - 500 mL = 500 mL

2. Calculate the remaining infusion time:

Remaining infusion time = Remaining volume / Infusion rate

Remaining infusion time = 500 mL / 100 mL/hr = 5 hours

3. Determine the time the infusion will be complete:

Current time: 1200 (12:00 PM)

Remaining infusion time: 5 hours

Time of completion: 1200 (12:00 PM) + 5 hours = 1700

Therefore, the nurse should expect to hang a new bag at 1700

A. would feel better if I put on some weight B. need to move to a warmer climate. C. need to avoid drinking wine. D. can stop my Allopurinol once feel better.

Correct Answer is C

Explanation

A. Weight gain can worsen gout by increasing joint stress and uric acid levels.

B. Climate change is not a treatment or preventive measure for gout.

C. Avoiding wine is correct as alcohol, especially beer and wine, can trigger gout flares.

D. Discontinuing Allopurinol abruptly can lead to worsening of gout symptoms.

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The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving IV fluids at 100 ml per hour. The nurse is told in report at 1200 that there are 500 ml left in the bag. At what time should the nurse expect to hang a new bag? Report the time in military time.

Correct Answer is ["1700"]

Explanation

The nurse evaluates the client's recall of the instructions about gout. Which response would indicate that the client understands the therapeutic regimen? "I:

Correct Answer is C

Explanation

A client is being considered for a total hip replacement. The nurse understands that contraindications for this procedure include: (SELECT ALL THAT APPLY)

Which of the following teaching instructions should be included for the patient with newly prescribed opioid analgesic for pain? (SELECT ALL THAT APPLY).

A nurse is teaching a client who has osteoporosis and a new prescription for the biphosphonate alendronate. Which of the following instructions should the nurse provide? (SELECT ALL THAT APPLY)

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The nurse is giving medications using the client's feeding tube. Which medication cannot be delivered in this way?

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