The nurse caring for a client who has undergone total hip replacement (THR) assesses for manifestations of the most common and serious complication after hip surgery, which is
a. contractures.
b. deep vein thrombosis.
c. infection.
d. prosthesis dislocation.
B
Venous thromboembolism, the most common and most serious complication after THR, can be manifested as a deep vein thrombosis. Infection is another complication, but is not seen as often.
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A patient is intubated, and sputum for culture and sensitivity is ordered. Which of the following is important for obtaining the best specimen?
a. After the specimen is in the container, dilute thick secretions with sterile water. b. Apply suction when the catheter is advanced to obtain secretions from within the endotracheal tube. c. Do not apply suction while the catheter is being withdrawn because this can contaminate the sample with sputum left in the endotracheal tube. d. Do not clear the endotracheal tube of all local secretions before obtaining the specimen.
A client presents to the ambulatory care clinic with complaints of back pain, nausea, and fatigue
When the nurse questions the client about recent stressors the client becomes irritated and states, "I am sick. Why are you asking me about all of this stress stuff?" Which response by the nurse is the most appropriate? 1. "Stress can impact our body by producing a variety of symptoms." 2. "Your nausea and fatigue are most often related to an overabundance of stress in life." 3. "Asking about stress is required for every client." 4. "We all have stress and I need to see how much you have."
A group of students are reviewing information about fluid balance and losses in children in comparison to adults. The students demonstrate a need for additional review when they identify which of the following?
A) Children have a proportionately greater amount of body water than do adults. B) Fever plays a greater role in insensible fluid losses in infants and children. C) A higher metabolic rate plays a major role in increased insensible fluid losses. D) The infant's immature kidneys have a tendency to overconcentrate urine more.
What does the acronym P-F-A stand for?
a. Purpose-Format-Assessment c. Project-Financial-Analysis b. Purpose-Focus-Approach d. Program-Functional-Analysis