When performing patient education regarding leg exercises, the nurse would explain that the purpose of the exercises is to
ease the stiffness from being on the operating table.
decrease pain from immobile extremities.
increase venous return and decrease stasis.
increase activity to help prevent atelectasis.
The Correct Answer is C
A. Ease the stiffness from being on the operating table. While leg exercises can help relieve stiffness, their primary purpose is not to address the stiffness from surgery but to improve circulation and prevent complications.
B. Decrease pain from immobile extremities. Leg exercises may reduce discomfort associated with immobility, but the main goal is to prevent complications such as blood clots or deep vein thrombosis (DVT).
C. Increase venous return and decrease stasis. Leg exercises are primarily aimed at improving venous return to the heart and reducing the risk of stasis, which can lead to complications like DVT.
D. Increase activity to help prevent atelectasis. While increasing activity is important for overall recovery, leg exercises are more focused on circulation and preventing blood clots, not directly preventing atelectasis (a condition where the lungs partially collapse).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. IV line patency: IV access is important for fluid and medication administration, but it is not the highest priority immediately postoperatively.
B. Urine output: Monitoring urine output is important for assessing kidney function and fluid balance, but airway management takes precedence.
C. Airway patency: The priority in the immediate postoperative period is maintaining a patent airway, as patients are at risk for respiratory complications such as obstruction, hypoxia, and aspiration due to anesthesia effects.
D. Wound drainage: Assessing wound drainage is necessary to monitor for excessive bleeding or infection, but it is not the top priority compared to airway patency.
Correct Answer is B
Explanation
A. Change the surgical dressing immediately to prevent infection. Changing the dressing immediately is unnecessary unless there is a significant issue, such as excessive drainage or signs of infection. Minor drainage can be observed unless there's a need for further intervention.
B. Outline the area of drainage with a pen and mark it with the date and time. This is the correct action to monitor the drainage over time. By marking the area, the nurse can track whether the drainage increases, stays the same, or decreases, which helps in assessing the wound’s status and effectiveness of the surgical dressing.
C. Make a note of the drainage on the worksheet to report it at the end of shift. While documentation is important, it is essential to monitor the drainage immediately after the initial assessment rather than waiting until the end of the shift.
D. Reinforce the dressing with clean gauze sponges and tape. Reinforcing the dressing may be appropriate if drainage is increasing or if the dressing is inadequate, but marking the area first is necessary for accurate tracking.
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