Nokea
When you care for a patient after a partial or total joint replacement, a major nursing focus will be
- A. Teaching the patient about healthy lifestyles.
- B. Screening the family for joint diseases.
- C. Managing pain and mobility.
- D. Preventing complications related to immobility.
Correct Answer: C,D
Rationale: Post-joint replacement care focuses on managing pain, promoting mobility, and preventing complications like blood clots or infections due to immobility. Lifestyle teaching and family screening are secondary.
You may also like to solve these questions
A patient who is 3 days post left total hip replacement with the lateral approach is sitting in a chair and drops a magazine. How should he or she retrieve it?
- A. Bend laterally at the waist to pick it up.
- B. Bend over with the knees flexed to pick it up.
- C. Call for someone else to pick it up.
- D. Use an extension gripper to pick it up.
Correct Answer: C,D
Rationale: Post-hip replacement patients with a lateral approach must avoid bending or twisting to prevent dislocation. Calling for help or using a gripper is safe.
Which of the following would you include when you teach a patient about using a cane?
- A. Hold the cane on your affected side.
- B. Move the unaffected leg and the cane together, and then move the affected leg.
- C. Lean to the side the cane is on for best support.
- D. Hold the cane on the unaffected side, move it with the unaffected leg, then move the affected leg.
Correct Answer: D
Rationale: The cane is held on the unaffected side, moved with the unaffected leg, then followed by the affected leg for proper support and balance.
You are caring for a young child with hip dysplasia who is in a spica cast. An important nursing concern is
- A. Assessing circulation to the fingers and hands.
- B. Moving the patient carefully without using the abductor bar.
- C. Keeping the patient's hips elevated above the heart.
- D. Aligning the hips each time the patient is turned.
Correct Answer: B
Rationale: In a spica cast, the abductor bar maintains hip alignment and should not be used to move the patient, as this could disrupt the cast or alignment. Circulation is assessed in the toes, not fingers.
The components of the hip joint that form the ball and socket are the
- A. Pelvis and greater trochanter.
- B. Femur and patella.
- C. Acetabulum and lesser trochanter.
- D. Head of the femur and the acetabulum.
Correct Answer: D
Rationale: The hip joint's ball and socket are formed by the femoral head (ball) and the acetabulum (socket). Other options include incorrect bone pairings.
A patient states he has fallen twice since using crutches for a foot injury. Which of the following questions might you want to ask him?
- A. Have you had any physical therapy for balancing exercises?
- B. Are you sure your crutch tips are not too slick?
- C. Would you show me how you hold your foot when you walk with the crutches?
- D. Haven't you ever used crutches before?
Correct Answer: A,B,C
Rationale: Asking about balance therapy, crutch tip condition, and walking technique helps identify fall causes. Option D is judgmental and unhelpful.