The home health nurse suggests to the patient who has had a total hip replacement that to protect the new joint, the patient should:

1. put an extension on the toilet seat.
2. keep the legs crossed when at rest.
3. change positions from side to side frequently.
4. slowly pull the knee to the chest twice a day to stretch the hip abductors.


1
Placing an extender on the toilet seat will assist in the objective of not flexing the hip more than 90 degrees. Crossing the legs adducts the hip, which is also contraindicated.

PTS: 1 DIF: Cognitive Level: Analysis REF: 898, Box 41-2
OBJ: 8 TOP: Total Hip Replacement and Nursing Implementations
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance

Nursing

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1. At the end of the shift report, the team leader tells the staff that charting will be reviewed, medication Cardex checked, and patient rounds made a half-hour early today to obtain a more detailed patient profile of care provided during that shift. 2. The team leader has been unavoidably late, has missed most of the shift report, and grabs the staffing roster to make out patient assignments. The assignments are scheduled by alphabetical order by the geographic areas of the unit. No incidents appear to have occurred on the unit during the shift. 3. The nurse is perpetually late for duty and frequently leaves before the end of the shift report, asking others to help in completing the patient assignment. The team leader ignores this as long as patient care is completed. 4. The staff member is noted to leave some patients in strange positions on several occasions. On rounds, the team leader notices this and correctly repositions the patients. The team leader thinks that the staff could probably use some in-service training on proper positioning; however, she decides that there is no time to do this.

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Which statements about perimenopausal hormone replacement therapy (HRT) are true? (select all that apply)

a. Insomnia is a common side effect. b. They slightly increase the risk for heart attacks. c. They increase the chances of becoming pregnant. d. Women taking them should avoid caffeine. e. They are prescribed to prevent osteoporosis. f. Weight may increase during therapy. g. They should be used only by women who are sexually active. h. They cannot be used by anyone who took oral contraceptives for more than 5 years.

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Anna Bryan, age 68, has obstructive jaundice. This could be detected by inspecting which structure of the eye?

A) Iris B) Sclera C) Cornea D) Anterior chamber

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The small intestine is the major site of

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Nursing