The nurse finds a 2-day postoperative patient who had a right total hip replacement lying supine with crossed legs. What observation should be made?
a. The right knee for crepitation
b. The left leg for internal rotation
c. The left leg for loss of function
d. The right leg for shortening
ANS: D
Crossing the legs puts the hip at risk for dislocation. Symptoms are pain in the affected hip, shortening of the leg, and possibly rotation of the surgical leg.
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1. "Your child will develop immunity to these illnesses even without the vaccination, but at a slower rate." 2. "The child can always receive the vaccination later." 3. "Receiving the vaccination will cause your child to develop active acquired immunity, which will protect against the development of these illnesses." 4. "I know the Centers for Disease Control expects everyone to have this vaccination, but you can always refuse."
The caregivers of a child report that their child had a cold and complained of a sore throat
When interviewed further they report that the child has a high fever, is very anxious, and is breathing by sitting up and leaning forward with the mouth open and the tongue out. The nurse should recognize these symptoms as being consistent with which disorder? A) Spasmodic laryngitis B) Tonsillitis C) Laryngotracheobronchitis D) Epiglottitis
A patient being evaluated for cardiac pathology asks the nurse why sodium, calcium, and potassium are so important in the diet. What is the nurse's best response?
A. "Because you are on potassium supplements, it is important to monitor electrolytes." B. "The action potentials of the heart muscle cells are dependent on the diffusion of sodium, potassium, and calcium across the cell membrane." C. "It is the pacemaker of your heart that is responsible for the heartbeat." D. "Heart rate is affected by the oxygen levels in your body, which involves the attachment of oxygen molecules to these electrolytes."
Only the charge nurse is responsible for unit management and efficiency.
Answer the following statement true (T) or false (F)