Nokea
The nurse is caring for an older adult following a total hip arthroplasty. The nurse should anticipate a prescription for which postoperative medication?
- A. Hydrocortisone
- B. Enoxaparin
- C. Metoprolol
- D. Furosemide
- E. Morphine
Correct Answer: B,E
Rationale: Enoxaparin prevents venous thromboembolism, a common risk post-hip arthroplasty, and morphine manages postoperative pain. Hydrocortisone, metoprolol, and furosemide are not routinely prescribed unless indicated by specific conditions.
You may also like to solve these questions
The nurse is caring for a client with a sacral wound infected with Methicillin-resistant staphylococcus aureus. Which personal protective equipment (PPE) is necessary to care for this client? Select all that apply.
- A. Gloves
- B. N95 respirator
- C. Surgical Mask
- D. Goggles
- E. Gown
Correct Answer: A,E
Rationale: MRSA requires contact precautions, including gloves and a gown. N95 respirators, surgical masks, and goggles are not needed unless aerosol-generating procedures are performed.
Which of the following clients would most likely benefit from contralateral stimulation as a nonpharmacological comfort intervention to decrease pain?
- A. A 36-year-old client with abdominal pain
- B. A 56-year-old client with a below-the-knee amputation and phantom limb pain
- C. A 76-year-old client with terminal cancer
- D. An 84-year-old client with severe arthritis
Correct Answer: B
Rationale: Contralateral stimulation, rubbing the opposite limb, is effective for phantom limb pain by altering pain perception. It is less effective for visceral, cancer, or arthritic pain.
The nurse is supervising a newly hired nurse preparing a client for a computed tomography (CT) scan of the brain with intravenous (IV) contrast. Which action by the newly hired nurse requires follow-up?
- A. Encouraging fluids when the client returns from the scan.
- B. Confirming that the consent form is signed.
- C. Raising the side rails of the client's stretcher during transport.
- D. Canceling the CT scan if the client reports a shellfish allergy.
Correct Answer: D
Rationale: Canceling the CT scan for a shellfish allergy is premature; further evaluation is needed. Encouraging fluids, confirming consent, and raising side rails are appropriate.
The nurse is conducting an in-service for nursing students. It would be appropriate for the nurse to state which of the following procedures requires a sterile technique? Select all that apply.
- A. Changing the dressing for a central line
- B. Inserting an indwelling urinary catheter
- C. Removing a peripheral vascular access device
- D. Suctioning an endotracheal tube with in-line suction
- E. Inserting a nasogastric tube (NGT)
Correct Answer: A,B,D
Rationale: Sterile technique is required for central line dressing changes, indwelling urinary catheter insertion, and endotracheal suctioning due to the risk of introducing pathogens into sterile areas.
The nurse is conducting a staff conference regarding standard precautions. It would be correct for the nurse to state that hand washing with soap and water is required when
- A. Hands are visibly soiled.
- B. Collecting vital signs (VS).
- C. Performing range of motion exercises.
- D. Inputting data into the electronic medical record (EMR).
Correct Answer: A
Rationale: Soap and water are required for visibly soiled hands, as alcohol-based rubs are less effective. Other activities can use hand rubs unless soiled.