A patient recovering from a total hip replacement develops a fever and redness at the surgical site. What should the nurse consider first when assessing this patient?
1. development of osteomyelitis
2. subacute osteoporosis
3. pathological fracture
4. undiagnosed osteitis deformans
Correct Answer: 1
Osteomyelitis is an infection of a bone. Since the patient had a total hip replacement, the joint or bone may be infected. Subacute osteoporosis is not a clinical disorder. This patient is not demonstrating signs of a pathological fracture. Osteitis deformans is a chronic disorder that causes irregular bone breakdown and bone weakness.
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The pediatric nurse is caring for a child who has been in a motor vehicle collision. The doctor explains to the family that there are serious physical disabilities. The father is upset and states: "I don't know how we will be able to cope. We have two other children. What can we do?" The nurse's best response is:
A. "Don't worry. You will be able to manage." B. "Don't worry. You will get through the crisis." C. "Many parents find the initial news overwhelming." D. "The doctor can explain it to you again."
As a result of a client's extreme anxiety and concern about delusional and hallucinatory phenomena, the nurse plans care because the client is at risk for which of the following? (Select all that apply.)
1. High nighttime levels of melatonin 2. Circadian cycle disruption 3. REM rebound 4. Reduced REM sleep 5. Great difficulty getting to sleep
List the three main factors that interfere with client education
What will be an ideal response?
The nurse is providing teaching for the mother of an infant who receives all of his nutrition through a tube. The nurse is reviewing interventions to promote growth and development. Which response from the mother indicates a need for further teaching?
A) "I will give him a pacifier during feeding time." B) "We need to keep feeding time very quiet." C) "We need to make sure he doesn't lose the desire to eat by mouth." D) "Sucking produces saliva, which aids in digestion."