The client must take three (3) grams of calcium supplement a day. The medication comes in 500-mg tablets. How many tablets will the client need to take daily?
Correct Answer: 6
Rationale: 3000 mg ÷ 500 mg = 6 tablets daily.
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The home health nurse is caring for clients who had a THR through the posterior surgical approach 2 weeks ago. It is most important for the nurse to intervene immediately for which client?
- A. After a THR, the client should not flex the hip greater than 90 degrees or have adduction of the hip because it can cause hip dislocation. Wearing socks that do not have grippers on the bottom increases the client's risk for a fall.
- B. After a THR the client may sit at 90 degrees.
- C. After a THR the client may lie supine.
- D. After a THR the client may be up. However, this client should be wearing shoes or gripper socks or slippers to prevent a fall.
Correct Answer: A
Rationale: A. After a THR, the client should not flex the hip greater than 90 degrees or have adduction of the hip because it can cause hip dislocation. Wearing socks that do not have grippers on the bottom increases the client's risk for a fall.
The nurse is caring for the client who had a surgical repair of a right Dupuytren's contracture. Which intervention should the nurse plan?
- A. Elevate the right lower extremity above the level of the heart
- B. Assist the client with bathing, dressing, grooming, and toileting
- C. Instruct about wearing low-heeled and properly fitting shoes
- D. Frequently rewrap the elastic bandage on the right extremity
Correct Answer: B
Rationale: B. Independent self-care is impaired for a few days after surgery because the hand is bandaged. The nurse should plan that the client receive assistance with personal care and ADLs.
Which statement reflects the most widely recognized theory for the use of transcutaneous electric nerve stimulation (TENS)?
- A. The sensation created by the TENS unit blocks the brain's perception of pain impulses.
- B. The sensation created by the TENS unit travels to the nerve root of the injury.
- C. The sensation created by the TENS unit destroys the brain's pain center.
- D. The sensation created by the TENS unit weakens nociceptor sensory nerves.
Correct Answer: A
Rationale: The gate control theory posits that TENS blocks pain impulses by stimulating non-pain sensory nerves, reducing the brain's perception of pain from the injured area.
The client is ordered to be in a semi-reclining position following a myelogram. The nurse understands that the primary reason for this is which of the following?
- A. To prevent infection
- B. To prevent spinal headache
- C. To prevent seizures
- D. To promote excretion of dye
Correct Answer: B
Rationale: A semi-reclining position post-myelogram prevents spinal headache by reducing cerebrospinal fluid leakage.
The nurse is discussing the importance of an exercise program for pain control to a client diagnosed with OA. Which intervention should the nurse include in the teaching?
- A. Wear supportive tennis shoes with white socks when walking.
- B. Carry a complex carbohydrate while exercising.
- C. Alternate walking briskly and jogging when exercising.
- D. Walk at least 30 minutes three (3) times a week.
Correct Answer: D
Rationale: Walking 30 minutes thrice weekly reduces OA pain and stiffness through low-impact exercise. Supportive shoes are helpful but secondary, carbohydrates are irrelevant, and jogging may worsen OA.
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