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The patient is post-op day 1 of a right total hip replacement. What precautions are necessary to prevent complications? (SELECT ALL THAT APPLY).

Use adductor pillow while in bed

Limit hip flexion to 90 degrees

Use fracture pan

Avoid adduction

Avoid Internal rotation

Answer and Explanation

Correct Answer : A,B,D,E

A. An adductor pillow helps maintain proper alignment and prevents the hip from crossing the midline (adduction).

B. Limiting hip flexion to 90 degrees prevents dislocation by avoiding positions that could stress the hip joint.

C. A fracture pan is not a necessary precaution for a total hip replacement; it is more relevant for clients with fractures.

D. Adduction should be avoided to prevent the hip from dislocating.

E. Internal rotation can cause the hip to dislocate, so it should be avoided.

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

Explanation

A. Inflammation of the lungs: This is not associated with osteoarthritis but could indicate other conditions such as rheumatoid arthritis or systemic diseases.

B. Tender and warm joints: These are more typical of inflammatory conditions like rheumatoid arthritis.

C. Nodules on the skin: Nodules are common in rheumatoid arthritis, not osteoarthritis.

D. Pain and stiffness of joints: Osteoarthritis is characterized by joint pain and stiffness, especially after inactivity or overuse.

E. Swelling of joints affected: Swelling occurs due to inflammation and changes in the joint structure associated with osteoarthritis.

A. Offer Incontinence briefs to be worn while sleeping B. Provide clothing that is easy to put on and take off C. Explain the need to call the nurse using the call bell for help with toileting D. Ask the client if he needs to urinate at least every two hours

Correct Answer is B

Explanation

A. Incontinence briefs are appropriate for overnight use but do not encourage independence in bladder management during the day.

B. Providing easy-to-remove clothing is a practical intervention that enhances the client's independence in managing toileting, especially if they have cognitive impairments. It ensures that the client can quickly respond to the urge to urinate.

C. Explaining the use of a call bell is helpful but may not be the most appropriate approach for a cognitively-impaired client who may forget or struggle with communication.

D. Asking the client every two hours if they need to urinate is helpful but may not be as effective as providing easy access to clothing for quick toileting.

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The patient is post-op day 1 of a right total hip replacement. What precautions are necessary to prevent complications? (SELECT ALL THAT APPLY).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of these deformities is associated with osteoarthritis? (SELECT ALL THAT APPLY).

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

Explanation

The nurse is attempting to assist a cognitively-impaired adult to maintain bladder continence. Which intervention is most appropriate?

Correct Answer is B

Explanation

Which interventions should be included in discharge teaching for a client who has had a total hip replacement? (SELECT ALL THAT APPLY)

The nurse is caring for a patient who returned 4 hours ago from having a lumbar laminectomy. Which change in assessment requires further action?

A client diagnosed with cervical spine degeneration has undergone a laminectomy. Which intervention should the nurse implement?

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