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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. A greenstick fractureis a partial fracture common in children and does not break the skin, so it carries a low risk of infection.
B. Stress fracturesare tiny cracks in the bone from repetitive force and are closed fractures, not typically associated with infection risk.
C. A compound fracture(also called an open fracture) involves a break in the skin, exposing the bone and surrounding tissue to the external environment, which significantly increases the risk of infection.
D. A spiral fractureis caused by a twisting force and can be suspicious for abuse in children, but unless the skin is broken, it does not inherently pose a high risk for infection.

A. difficulty voiding B. slow pulse C. diarrhea D. excessive salivation

Correct Answer is A

Explanation

A. Difficulty voidingis an anticholinergic effectof benztropine and should be reported. Urinary retention is a known adverse effect and can lead to serious complications if unaddressed.
B. A slow pulse (bradycardia) is not a common side effect of benztropine.
C. Diarrhea is not typical; benztropine more commonly causes constipationdue to its anticholinergic properties.
D. Benztropine reduces salivation, so dry mouthis expected. Excessive salivationis not associated with this medication.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pediatric nurse is assisting with the care of a child diagnosed with a fractured femur. What type of fracture would be the most likely cause infection?

Correct Answer is C

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Correct Answer is A

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