Client having total knee replacement surgery

In preparation for total Knee surgery, a 200 pound client with osteoarthritis must lose weight. Which exercise for the nurse recommend as best if the client has no contraindication? A)Weight lifting B)walking C) aquatic exercises D) tai tai exercises

C aquatic exercises

After knee arthroplasty, the client has a sequential compression device (SCD). The nurse should do which of the following? 1. Elevate the sequential compression device (SCD) on two pillows. 2. Change the settings on the SCD to make the client more comfortable. 3. Stop the SCD to remove dressings and bathe the leg. 4. Discontinue the SCD when the client is ambulatory.

4.DISCONTINUE THE SCD WHEN THE CLIENT IS AMBULATORY After knee arthroplasty, the knee will be extended and immobilized with a firm compression dressing and an adjustable soft extension splint in place. A sequential compression device (SCD) will be applied. The SCD can be discontinued when the client is ambulatory, but while the client is in bed the SCD needs to be maintained to prevent thromboembolism. The SCD should be positioned on the bed, but not on two pillows. Settings for the SCD are ordered by the orthopedic surgeon. Initial dressing changes are completed by the orthopedic surgeon and changed as needed per physician order.

The nurse is preparing a client who has had a knee replacement with a metal joint to go home. What should the nurse instructed client to go? Select all that apply A) notify healthcare provider about the joint prior to invasive procedures. B) Inform the healthcare provider prior to having magnetic resonance imaging scans. C) Notify airport security that's a joint may set off alarms on metal detector. D) Refrain from carrying items Weighing more than 5 pounds. E) Eat a low fat, low carb diet.

A B C

The nurse is assessing a client left leg for neurovascular changes following in total left placement. Which are expected normal findings? Select all that apply. A) Moderate Edema of a left knee B)skin warm to touch C) capillary refill response and less than 30 seconds D)moves toes E)pain absent F) pulse on left leg weaker than right leg

A B C D

When preparing a client for discharge from the hospital after a total knee replacement, the nurse should indicate which information and the discharge plan? Select all that apply. A) Report signs of infection to the healthcare provider. B) Keep the affected leg and foot on the floor when sitting in the chair. C) Remove antiembolism stockings while sleeping. D) The physical therapist will encourage progressive ambulation with use of assistive devices. E) Change the dressing daily

A D

A client has just had a total knee replacement. When assessing the client, which findings should lead the nurse to suspect possible nerve damage? A) Numbness B) bleeding C) dislocation D) pinkness

A numbness

The lab notifies the nurse that a client who had a total knee replacement three days ago and is receiving heparin has an activated partial thromboplastin time of 95. After verifying the value, the nurse calls the healthcare provider. What prescription for the client should the nurse recommend the healthcare provider consider A)Protamine sulfate B) vitamin K C)warfarin D)packed red blood cells

A protamine sulfate

First session of scheduled physical therapy following total knee replacement surgery. The nurse assesses that the clients knee is swollen slightly erythematous and painful. The client read the pain seven out of 10 And has not had any scheduled or PRN pain medication today. What should the nurse do? Select all that apply A) gently massage area to increase circulation to reduce pain B) administer pain medication as prescribed C) elevate the leg and apply a cold cat D) Notify the healthcare provider E) call physical therapy to cancel the next treatment

B C

On the evening of surgery for total knee replacement, a client wants to get out of bed. What should the nurse do to safely assist the client? A) Encourage the client to apply for weight-bearing B) ask the healthcare provider to describe a walker for the client C) play straight back chair at the foot of the bed D) apply a knee immobilizer

D) Apply a knee immobilizer