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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 B

Explanation

A. Suggesting remedies prematurely without fully understanding the client’s concerns might not address their specific needs.

B. The best response is to encourage open communication by acknowledging the client’s concerns and fostering a discussion. This approach helps the nurse understand the client’s worries and provide tailored information about rheumatoid arthritis and its potential impact on daily life.

C. The progression of rheumatoid arthritis is variable and can affect activities of daily living more noticeably over time; it’s not always subtle.

D. While predicting disease outcomes can be difficult, giving a more open response like option B will foster better communication and support.

A. Propranolol 10 mg PO twice a day B. Morphine sulfate 10 mg IM q 4 hours prn pain C. Metoprolol 20 mg PO three times a day D. Cephalexin 500 mg PO q 4 hours

Correct Answer is C

Explanation

A. Propranolol 10 mg PO twice a day would not fit this schedule of three doses.

B. Morphine sulfate is ordered every 4 hours as needed, not on a fixed schedule.

C. Metoprolol is scheduled three times a day (1000, 1400, 1800), fitting the described schedule.

D. Cephalexin 500 mg q 4 hours does not match the schedule as it requires dosing every 4 hours, not at the specified times.

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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

The client has been diagnosed with rheumatoid arthritis and asks, "What impact will this have on my activities of daily living in the years to come?" What is the best response by the nurse?

Correct Answer is B

Explanation

The nurse is transcribing a medication order and schedules dosing for 1000, 1400 and 1800. Which medication order is consistent with this schedule?

Correct Answer is C

Explanation

A client returns to the unit after undergoing a total hip replacement with a cemented prosthesis. Which order should the nurse anticipate regarding weight bearing status?

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

A nurse is caring for a client with osteoarthritis. The nurse should expect which findings with this disease process?

A client describes low back pain that radiates down one leg. Which factors that aggravate the pain increase the likelihood that this client has a herniated disc? (SELECT ALL THAT APPLY)

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

A client has undergone a laminectomy and diskectomy at L3-4 and L4-5 with spinal fusion at those levels. Postoperatively the nurse would expect to include in the client's care which of the following?

A client fractured the right ankle which was casted with a plaster of Paris cast. Before discharge, the nurse gives instructions for cast care. Which statement made by the client indicates that further teaching is needed?

A client with arthritis is prescribed ibuprofen 800 mg PO TID for pain reduction in the knee. The nurse should instruct the client to report which of the following side effects to the physician? (SELECT ALL THAT APPLY)