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Which interventions should be included in discharge teaching for a client who has had a total hip replacement? (SELECT ALL THAT APPLY)

Explain the importance of increasing activity gradually.

Have the client demonstrate use of assistive devices.

Discuss use of abductor pillow between thighs when turning in bed.

Tell the client to ambulate with open-toed house shoes.

Instruct the client not to take medication prior to ambulating

Answer and Explanation

Correct Answer : A,B,C

A. Gradually increasing activity helps in recovery and prevents complications like blood clots.

B. Having the client demonstrate the use of assistive devices ensures proper use and safety during ambulation.

C. Using an abductor pillow helps maintain hip alignment and prevents dislocation while turning in bed.

D. Open-toed house shoes are not recommended as they do not provide adequate support or protection.

E. It is important for the client to manage pain appropriately, including taking medication before activities such as walking.

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Correct Answer is B

Explanation

A. While pain may increase if the knee is positioned improperly, the primary concern is the development of a contracture.

B. Placing a pillow under the knee after total knee replacement can promote a flexion contracture, which results in the inability to fully extend the knee. This is undesirable as it can limit mobility and function post-surgery.

C. The pillow does not stop circulation to the extremity directly.

D. A pillow under the knee is not typically associated with skin breakdown unless the client is immobile for extended periods, but the risk of contracture is a more immediate concern.

A. nifedipine XL 60 mg B. diltiazem 30 mg C. acetaminophen 325 mg D. furosemide 20 mg

Correct Answer is A

Explanation

A. Nifedipine XL (extended-release) should not be crushed as it alters the medication release mechanism.

B. Diltiazem can be given via a feeding tube if it is in an appropriate form.

C. Acetaminophen is available in a form suitable for feeding tubes.

D. Furosemide can be administered via a feeding tube.

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Which interventions should be included in discharge teaching for a client who has had a total hip replacement? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:

Correct Answer is B

Explanation

The nurse is giving medications using the client's feeding tube. Which medication cannot be delivered in this way?

Correct Answer is A

Explanation

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