A nurse is caring for an older adult patient who is preparing for discharge following recovery from a total hip replacement. Which of the following outcomes must be met prior to discharge?
A) Patient is able to perform ADLs independently.
B) Patient is able to perform transfers safely.
C) Patient is able to weight-bear equally on both legs.
D) Patient is able to demonstrate full ROM of the affected hip.
Ans: B
Feedback:
The patient must be able to perform transfers and to use mobility aids safely. Each of the other listed goals is unrealistic for the patient who has undergone recent hip replacement.
You might also like to view...
A client with an esophagogastric tube suddenly experiences acute respiratory distress. What should be the nurse's immediate action?
A. Call the physician. B. Cut the balloon ports and remove the tube. C. Place the client in an upright position and apply oxygen. D. Reduce the balloon pressure slightly using the sphygmomanometer.
The multiparous patient at term has arrived to the labor and delivery unit in active labor with intact membranes. Leopold's maneuvers indicate the fetus is in a transverse lie with a shoulder presentation
Which physician order is most important? 1. Artificially rupture membranes. 2. Apply internal fetal scalp electrode. 3. Monitor maternal blood pressure every 15 minutes. 4. Alert surgical team of urgent cesarean.
For a patient in traction who has skeletal pins, the nurse should:
a. use povidone-iodine to cleanse the pin site. b. apply antiseptic ointment and cover with a split dressing. c. use hydrogen peroxide as a rinse before a dressing is applied. d. do both pin sites at the same time, with the same swab and solution.
The client is receiving ferrous sulfate (Feosol) for the treatment of anemia. The nurse has taught the client about this drug and about anemia. The nurse evaluates that learning has occurred when the client makes which statement?
1. "My anemia was caused by blood loss from my ulcer, but there are other causes too." 2. "My anemia was caused by drinking too many carbonated beverages with caffeine." 3. "There are many causes for anemia; mine was caused by heart failure and fluid overload." 4. "I think my anemia occurred when I started that vegetarian diet."