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 D
Explanation
A. Ambulation is usually delayed until after initial assessment and pain/swelling control.
B. Wrapping the knee may be appropriate but ice application takes priority to reduce swelling and pain.
C. Passive ROM exercises are generally started later, not immediately post-procedure.
D. Applying ice packs helps control inflammation and swelling immediately after arthroscopy.
Correct Answer is D
Explanation
A. Alcohol should generally be avoided or limited significantly, as it can interfere with seizure control and interact with phenytoin.
B. Antacids can interfere with phenytoin absorption; patients are usually advised to space them out by at least 2 hours, not just 1 hour.
C. Phenytoin does not typically cause urine to turn orange; this is more common with medications like rifampin or phenazopyridine.
D. Phenytoin can cause gingival hyperplasia (gum overgrowth), so regular dental visits every 3 to 6 months are important to monitor and manage oral health.
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