Nokea
A nurse is contributing to the plan of care for a client following a total hip arthroplasty. Which of the following interventions should the nurse recommend?
- A. Turn the client every 4 hr for 48 hr while on bed rest.
- B. Have the client use an incentive spirometer every 4 hr.
- C. Instruct the client to bend from the hip when retrieving items from the floor.
- D. Maintain hip abduction when turning the client.
Correct Answer: D
Rationale: Maintaining hip abduction prevents dislocation of the new hip joint, a critical consideration post-hip arthroplasty.
You may also like to solve these questions
A nurse is caring for a client who is postoperative. For which of the following findings should the nurse suspect the client is experiencing a deep-vein thrombosis?
- A. Muscle spasms
- B. Absent pedal pulse
- C. Numbness of the affected extremity
- D. Warmth of the affected extremity
Correct Answer: D
Rationale: Warmth is a classic sign of deep-vein thrombosis due to inflammation and blood flow changes in the affected area.
A nurse is transporting a client who has pneumonia and is on droplet precautions to radiology. Which of the following safety measures should the nurse take while transporting the client?
- A. The client should wear a mask during transport.
- B. The nurse should wear a mask during transport.
- C. The nurse should wear a gown during transport.
- D. The client should wear a gown during transport.
Correct Answer: A
Rationale: The client wearing a mask during transport prevents the spread of droplet pathogens, consistent with droplet precautions for pneumonia.
A nurse is reinforcing teaching about meal planning with a client who has hypertension. Which of the following statements by the client indicates an understanding of the teaching?
- A. I can season food with ketchup.
- B. I can season food with vinegar.
- C. I can have a bologna sandwich
- D. I can have canned soup.
Correct Answer: B
Rationale: Vinegar is low in sodium, unlike ketchup, bologna, or canned soup, aligning with hypertension dietary teaching.
A nurse is assisting in the care of a client following a tonsillectomy who is alert and has an SpO2 of 93% on room air. Which of the following actions should the nurse take?
- A. Obtain the client's peak expiratory flow volume.
- B. Encourage the client to cough.
- C. Place the client in a semi-Fowler's position.
- D. Encourage the client to use a straw to sip cool liquids.
Correct Answer: C
Rationale: Placing the client in a semi-Fowler's position promotes airway clearance and comfort post-tonsillectomy, especially with an SpO2 of 93%.
A nurse is reinforcing teaching with a client who has gastroesophageal reflux (GERD). Which of the following statements by the client indicates an understanding of the teaching?
- A. I will lie down for 30 minutes after each meal.
- B. I will increase vitamin C intake by drinking orange juice.
- C. I will sleep flat on my back at night.
- D. I will eat six small meals each day.
Correct Answer: D
Rationale: Eating six small meals reduces stomach pressure and reflux, indicating understanding of GERD management.