Client having a hip replacement

Following a client total hip replacement, what should the nurse do? Select all that apply A) with the aid of a coworker, turn the client from the supine to prone position every two hours B)encourage the client to leave the overhead trapeze to assist with position change C) for meals, elevate the head of the bed to 90° D)Use a fracture bedpan we needed by the client E) when the client is in bed, to prevent thromboembolism by encourage of the client to do toe pointing exercises

B,D,E

Following a total joint replacement, which of the following complications has the greatest likelihood of occurring? 1. Deep vein thrombosis (DVT). 2. Polyuria. 3. Intussception of the bowel. 4. Wound evisceration.

1. DVT Deep vein thrombosis is a complication of total joint replacement and may occur during hospitalization or develop later when the client is home. Clients who are obese or have previous history of a DVT or PE are at high risk. Immobility produces venous stasis, increasing the client's chance to develop a venous thromboembolism. Signs of a DVT include: unilateral calf tenderness, warmth, redness, and edema (increased calf circumference). Findings should be reported promptly to the physician for definitive evaluation and therapy. Polyuria may be indicative of diabetes mellitus. Intussusception of the bowel and wound evisceration tend to occur after abdominal surgeries.

The nurse is assessing a client who had a left hip replacement 36 hours ago which finally indicates the prosthesis is this located? Select all that apply A) the client reports popping sensation in the hip B) The left leg is shorter than the right leg C)The client has sharp pain in the groin D)The client cannot move the right leg E) The client cannot wiggle the toes on the left leg

A,B,C

A client who had a total hip replacement for days ago worried about dislocation of the cost how should the nurse respond to this clients concern? A) don't worry. Your new hip is very strong B) use of a cushion toilet seat help dislocation C) activities that tend to cause adduction of the hip tend to cause dislocation so try to avoid them D) Decreasing use of the abductor pillow will strengthen the muscles to present location

C activities that tend to cause adduction of the hip tend to cause dislocation to try to avoid them

The nurse has established a goal with a client to improve mobility following hip replacement which outcome is realistic at the time of discharge from the surgical unit? The client can: A) walk throughout the nursing unit with a walker. B) Walk the length of a hospital hallway with minimal pain. C)Be more independent when transferring from bed to chair. D)Raise the affected leg 6 inches assistance.

C) be more independent when transferring from bed to chair

A client who has had a total hip replacement has a dislocated hip. What should the nurse do first? A) stabilize the leg with bucks traction B)Apply and ice pack to the effect of hip. C)Addition the client for side of the head. D)Notify the orthopedic surgeon

D Notified the orthopedic surgeon

The nurse client who will have a total hip replacement tomorrow. Which information is most important at this time? A) Teach how to prevent flexion. B) Demonstrate coughing and deep breathing techniques. C)Show the client one actual hip prosthesis looks like. D)Assess the clients fears about the procedure.

D assess the clients fear about the procedure

The nurse is teaching a client to administer enoxaparin following A total hip replacement. What should the nurse instruct the client to do? Select all that apply A) Report promptly any difficulty breathing rash or or itching B) notify the healthcare provider of unusual bruising C) avoid all aspirin containing medication D) where or carry medical identification E) expel the air bubble from the syringe before injection F) remove a needle immediately after the medication is injected

A, B, C, D

The client is to have a total hip replacement. What nursing actions should the preoperative plan include? Select all that apply A)administer antibiotics as prescribed to ensure therapeutic blood pressure blood levels B)apply like compression device C) request a trapeze to be added to the bed D teach isometric exercises of quadriceps and gluteal muscles E) demonstrate Crutch walking with a 3 point gate F) Place bucks traction on the bed

A, C, D

Which information should the nurse include when performing discharge teaching with a client who had an anterolateral approach for a total hip replacement? Select all that apply A) avoid turning the toes or knee outward B)You and abduction pillow between the legs in bed C)Use an elevated toilet seat shower chair D)Do not extend the operative leg backward E)Restrict motion for two weeks after surgery

A, C, D

The nurse is assessing a client for neurological impairment after a total hip replacement. Which finding indicates impairment in the affected extremity? A) decreased distal pulses B)Inability to move C)Diminished capillary refill D)Coolness to the touch

B Inability to move

A client have a posterolateral total hip Replacement two days ago. What information should the nurse include in the clients plan a care? Select all that apply A)When using a walker, encourage the client to keep the toes pointed in word B) position a pillow between the legs to maintain abduction C)Allow the client to be in the supine position or in the lateral position on the unoperated side D) do you not allow the client to bend down to tie or slip on shoes E) place ice on the incision after physical therapy

B, c, D, E

After surgery and insertion of a total hip prosthesis, a client developed severe sudden pain in an inability to move the extremities. What do these findings indicate? The client; a is developing an infection B is bleeding in the operative site C has a joint dislocation D has glue seepage into soft tissue.

C Has a joints this location

An older adult with a hip fracture is to use a alternating air pressure mattress at home to prevent pressure ulcers while recovering from surgery. The nurse is showing the clients family how to place the mattress what should the nurse instruck the family to do? A)Turn the mattress over so the air cells face the mattress of the bed and cover the mattress with a bedsheet B)Put a sticky pad over the pressure mattress to prevent swelling. And place the bed sheet on top of the pad C)Make the bed with the bed sheet on top of the pressure mattress D)Place the sheets on the bed and then remove the pillow to Allow full use of the mattress on the neck

C) make a bed with a bed sheet on top of the pressure matress

A client had a total hip replacement today. How should the nurse position the client when the client is transferred from the transport cart to the bed? A) place weights alongside the affect extremity To keep the extremity from rotating B)Elevate both feet onto pillows C) keep the lower extremities adducted by use of immobilization device around both ways D) maintain the affected extremity and site abduction using the abduction splint or pillows placed between the thighs

D Maintain the affected extremity and site abduction using in abduction splint or pillows placed between the thighs

A client who had a total hip replacement two days ago has developed an infection with a fever, profuse diaphoresis, and dehydration, the nurse establishes a care plan to make the client comfortable. Which schools are appropriate? Select all that apply A) he drinks 2000 ML's of fluid per day B) understand how to manage the incision C) have Badlands changed as needed D have cool and dry skin E remain on complete bedrest

Drink 2000 ML's of fluid per day