The nurse is caring for an older patient recovering from a total hip replacement. Which intervention will prevent dislocation of the hip prosthesis?
1. Encourage early ambulation.
2. Provide pain medication as needed.
3. Apply intermittent compression devices.
4. Place a wedge between the legs to keep the hip in abduction.
4
Rationale: Early ambulation is an action to promote healing of a total knee replacement.
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A client brought to the emergency room after a motor vehicle accident is suspected of having internal bleeding. What initial clinical manifestation of hypovolemic shock would the nurse expect to find in this client?
A. Increased respiratory rate B. Decreased urinary output C. Increased heart rate D. Cool, pale skin
The nurse is assessing a client who has a factor VIII deficiency. Which clinical manifestation does the nurse expect to assess in this client?
a. Excessive bleeding from a cut b. Chronic lower back pain c. Nausea and vomiting d. Temperature of 101° F
The nurse is preparing a client for an abdominal examination. What should the nurse done before beginning the examination?
1. Ask the client to urinate. 2. Ask the client to drink 8 ounces of water. 3. Assess vital signs. 4. Assess heart rate.
In addition to bone, muscle, and fat, which of the following organs is particularly responsive to the effects of somatotropin?
A. Stomach B. Spleen C. Liver D. Lymph nodes