When caring for a patient who has an abductor wedge in place after a total hip replacement, for which finding should the nurse assess for?
Alteration in peripheral circulation
Muscle spasms
Compression fracture
Appropriateness of the size of the wedge
The Correct Answer is A
A. The nurse should assess for alteration in peripheral circulation, such as changes in color, temperature, pulse, or sensation in the lower extremities. The abductor wedge keeps the legs abducted to prevent dislocation of the hip, but if applied improperly, it may impair circulation or cause nerve compression.
B. Muscle spasms can occur after surgery but are not directly related to the use of an abduction wedge.
C. Compression fractures are not a typical concern in the immediate care of a patient with an abduction wedge after hip replacement.
D. While correct wedge size is important, the priority is to monitor for complications such as compromised circulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["260"]
Explanation
Use the BSA (Body Surface Area) formula to calculate the child’s dose:
Child's dose = BSA of child × (Adult dose ÷ 1.73)
Child's dose = 0.45 × (1000 ÷ 1.73)
Child's dose = 0.45 × 578.03
Child's dose ≈ 260.1 mg
Round to a practical dose: 260 mg
Correct Answer is A
Explanation
A. Warm compresses should notbe applied during the first 24 hours after a sprain, as they can increase swelling and inflammation. Cold therapy (ice) is recommended initially.
B. Ice packs should be applied for 20–30 minutes at a time with equal periods off to reduce swelling and pain.
C. Elevating the leg helps reduce swelling by promoting venous return.
D. Wrapping the ankle provides support and compression, which are part of initial sprain management.
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