A client had a total hip arthroplasty from the posterolateral approach. The nurse ensures correct positioning by placing the client with the operative leg
a. abducted with a triangular foam pillow.
b. externally rotated to 90 degrees.
c. in a flexed position with pillows between the knees.
d. internally rotated to no more than 60 degrees.
A
Using this approach, the operative leg must be kept abducted and extended. When ambulating, the client should point toes slightly outward to prevent internal rotation. When turned to the side in bed, the abductor pillow stays in place. The client should also not flex the hip beyond 90 degrees, making some adaptations in ADLs necessary.
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A client is diagnosed with schizophrenia spectrum disorder. A physician orders haloperidol (Haldol) 50 mg bid, benztropine (Cogentin) 1 mg prn, and zolpidem (Ambien) 10 mg HS
Which client behavior would warrant the nurse to administer benztropine? 1. Tactile hallucinations 2. Tardive dyskinesia 3. Restlessness and muscle rigidity 4. Reports of hearing disturbing voices
When can the sex of the fetus be confirmed?
a. Conception b. 2 weeks c. 6 weeks d. 9 weeks
The manager is reviewing informatics competencies for each level of staff nurse. Which statement indicates the appropriate level of informatics competencies to the correct nurse?
A) An informatics nurse extrapolates data to develop a best practice model for indwelling catheter care. B) The novice nurse uses a spreadsheet to document medication reactions. C) An experienced staff nurse creates databases. D) A beginning nurse utilizes the Internet to integrate multidisciplinary languages.
The nurse is giving discharge teaching to the mother of a 3-year-old who has had a shunt revision. The nurse teaches the mother that which of the following are signs of shunt malformation? (Select all that apply.)
1. Fever 2. Vomiting 3. Dizziness 4. Bulging fontanel 5. Personality change