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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. 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.

A. decrease cardiac workload. B. dilate the coronary arteries. C. prevent cardiac dysrhythmias. D. Increase the strength of myocardial contraction.

Correct Answer is A

Explanation

A. Metoprolol, a beta-blocker, reduces heart rate and myocardial oxygen demand, effectively decreasing the cardiac workload.

B. Metoprolol does not primarily dilate coronary arteries.

C. While it can help manage dysrhythmias, its main purpose is to reduce cardiac workload.

D. Metoprolol does not increase the strength of myocardial contraction; it may reduce it slightly to decrease oxygen demand.

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

Correct Answer is B

Explanation

The nurse gives metoprolol 25 mg PO BID to a client who has coronary artery disease. The nurse understands that the primary use of this medication is to:

Correct Answer is A

Explanation

A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:

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:

A nurse is assessing a client on the first post-operative day after a L3-4 laminectomy and diskectomy. The client now complains of numbness and tingling in the left leg. What is the nurse's first priority?

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)

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

The client has had a total hip replacement. The nurse teaches the client about safe positions for the client for sexual intercourse. These include: (SELECT ALL THAT APPLY)

A nurse is caring for a client who is experiencing acute back pain and who was given a medical prescription for a nonsteroidal anti-inflammatory agent (NSAID). The nurse would monitor the client for which symptom?

A client who is 3 days post-operative following a total hip replacement returns from physical therapy and states, "Something is not right. I felt something 'pop' in my hip." What would cause the nurse to suspect that the client has dislocated the hip?