mod 5 review questions

A nurse is caring for a client who is postoperative day 1 right hip replacement. How should the nurse position the client? A. Keep hips flexed at no less than 90 degrees B. Seat the client in a low chair as soon as possible C. Keep the client's hips in abduction at all times D. Elevate the head of the bed to high Fowler's

C

The nurse is caring for a client who underwent a total hip replacement yesterday. What should the nurse do to prevent dislocation of the new prosthesis? A. Protect the affected leg from internal rotation B. Keep the hip flexed by placing pillows under the client's knee C. Keep the affected leg in a position of adduction D. Have the client reposition himself independently

A

While assessing a client who has had knee replacement surgery, the nurse notes that the client has developed a hematoma at the surgical site. The affected leg has a decreased pedal pulse. What would be the priority nursing diagnosis for this client? A. Risk for Ineffective Peripheral Tissue Perfusion B. Unilateral Neglect Related to Hematoma C. Disturbed Kinesthetic Sensory Perception D. Risk for Infection

A

A client is being prepared for a total hip arthroplasty, and the nurse is providing relevant education. The client is concerned about being on bed rest for several days after the surgery. The nurse should explain what expectation for activity following hip replacement? A. "Our goal will actually be to have you walking normally within 5 days of your surgery." B. "The physical therapist will likely help you get up using a walker the day after your surgery." C. "For the first 2 weeks after the surgery, you can use a wheelchair to meet your mobility needs." D. "Actually, clients are only on bed rest for 2 to 3 days before they begin walking with assistance."

B

A client is scheduled for a total hip replacement and the surgeon has explained the risks of blood loss associated with orthopedic surgery. The risk of blood loss is the indication for which of the following actions? A. Prophylactic blood transfusion B. Autologous blood donation C. Use of a cardiopulmonary bypass machine D. Postoperative blood salvage

B

A 91-year-old client is slated for orthopedic surgery and the nurse is integrated gerontologic considerations into the client's plan of care. What intervention is most justified in the care of this client? A. Administration of prophylactic antibiotics B. Use of a Foley catheter until discharge C. Use of a pressure-relieving mattress D. Total parenteral nutrition (TPN)

C

A client with a total hip replacement is progressing well and expects to be discharged tomorrow. On returning to bed after ambulating, the client reports a new onset of pain at the surgical site. What is the nurse's best action? A. Assess the client for signs and symptoms of systemic infection B. Administer pain medication as prescribed C. Assess the surgical site and the affected extremity D. Reassure the client that pain is a direct result of increased activity

C

A nurse is planning the care of a client who has undergone orthopedic surgery. What main goal should guide the nurse's choice of interventions A. Helping the client come to terms with limitations B. Administering medications safely C. Improving the client's level of function D. Improving the client's adherence to treatment

C

A nurse is caring for an older adult client who is preparing for discharge following recovery from a total hip replacement. What outcome must be met prior to discharge? A. Client is able to perform ADLs independently. B. Client is able to demonstrate full ROM of the affected hip. C. Client is able to weight-bear equally on both legs. D. Client is able to perform transfers safely.

D

An elderly client's hip joint is immobilized prior to surgery to correct a femoral head fracture. What is the nurse's priority assessment? A. The presence of internal or external rotation B. The client's complaints of pain C. The presence of leg shortening D. Signs of neurovascular compromise

D