What nursing intervention should the nurse prioritize to prevent the complication of hip displacement in a client who has suffered a hip fracture?

Encourage internal and external rotation of the affected leg

Maintain prone positioning at all times

Administer analgesics as required

Place a pillow between the client's legs when turning

Answer and Explanation

The Correct Answer is D

Rationale:
A. Encouraging internal and external rotation of the affected leg increases the risk of dislocating the hip and should be avoided post-fracture or post-surgery.
B. Prone positioning is rarely used and can increase discomfort or stress on the hip joint, potentially worsening outcomes.
C. While administering analgesics is important for comfort, it does not directly prevent hip displacement.
D. Placing a pillow between the client’s legs when turning helps maintain proper hip alignment and prevents adduction, which can lead to hip dislocation. This is a key nursing intervention to prevent complications after a hip fracture.

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Correct Answer is C

Explanation

Rationale:
A. Sunlight exposure can trigger flares in clients with SLE due to photosensitivity; minimizing UV exposure is recommended.
B. While moderate activity is beneficial, overexertion can lead to flares; clients should balance activity with rest.
C. Monitoring body temperature regularly helps detect early signs of infection, which clients with SLE are at increased risk for due to immunosuppressive therapy and the disease itself. This shows appropriate understanding.
D. Stopping steroids abruptly can lead to adrenal insufficiency and flare-ups; medications should only be adjusted under medical supervision.

A. Call the dietary department to report that the client needs to be on a low-bacteria diet B. Remove the fresh flowers from the client's room C. Instruct the family members to wear a mask when in the client's room D. Remove the rectal thermometer from the client's room

Correct Answer is D

Explanation

Rationale:
A. A low-bacteria diet is more relevant for clients with neutropenia, not thrombocytopenia.
B. Removing fresh flowers is also a precaution for infection prevention in immunocompromised (neutropenic) patients, not bleeding risk.
C. Family members wearing masks is an infection control measure for clients with low white blood cell counts, not low platelets.
D. A platelet count of 20,000 cells/mm³ indicates severe thrombocytopenia, putting the client at high risk for bleeding. Rectal thermometers can cause mucosal trauma and bleeding and should be avoided. Removing it is the appropriate safety measure in this scenario.

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What nursing intervention should the nurse prioritize to prevent the complication of hip displacement in a client who has suffered a hip fracture?

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Naxlex Comprehensive Predictor Exams

A client with systemic lupus erythematosus (SLE) is preparing for discharge. The nurse knows that the client has understood health education when the client makes what statement?

Correct Answer is C

Explanation

The nurse reviews the laboratory test results for a client diagnosed with leukemia who is receiving chemotherapy. The nurse notes that the client's platelet count is 20,000 cells/mm3(reference range 150,000 - 450,000). The nurse should prepare to implement a specific action based on this finding.

Correct Answer is D

Explanation

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