A patient recovering from a total hip replacement develops a fever and redness at the surgical site. Which of the following should the nurse consider first when assessing this patient?
1. Development of osteomyelitis
2. Subacute osteoporosis
3. Pathological fracture
4. Undiagnosed osteitis deformans
Development of osteomyelitis
Rationale: Acute osteomyelitis results from direct trauma or surgery. It is the direct contact of bacteria or the implanting of bacteria from the outside environment during a surgical procedure. Symptoms of acute osteomyelitis include fever, edema at the surgical site, warmth, redness, tenderness, and limited mobility. 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 nurse presented a program regarding objectives related to the overall health of eyes that are addressed in Healthy People 2020. Which client statement made by an adult participant in the program indicates an adequate understanding of these objectives?
1. "My 4-year-old doesn't need his vision screened." 2. "I'm going to call my eye doctor and ask that she performs a dilated eye exam." 3. "My mom has been complaining of dry eyes, but I knew it was all in her head." 4. "I didn't know that Asians have the highest risk for developing glaucoma."
Which of the following statements represents an organization?s philosophy?
1. ?We will increase client satisfaction by 15%.? 2. ?We will increase productivity by 10% on the 2nd floor.? 3. ?We believe clients are most important.? 4. ?We believe in honest communication.?
The nurse has attended morning report on a busy medical unit. The nurse recognizes which patient to be at greatest risk for the development of cardiogenic shock?
A) The patient admitted with acute renal failure. B) The patient admitted following a myocardial infarction (MI). C) The patient admitted following hypertensive urgency. D) The patient admitted following a stroke.
The nurse has to disassemble the aquathermia pad. What is the correct sequence of steps for disassembling the aquathermia pad after use?
1 . Unplug the unit. 2 . Empty the water out of the pump unit, the pad, and all tubes over a sink to prevent leakage. 3 . Discard the pad. 4 . Return only the heater/pump to the appropriate department. 5 . Carefully wash hands. A) 1, 2, 3, 4, 5 B) 2, 4, 3, 5, 1 C) 3, 1, 2, 4, 5 D) 4, 2, 5, 3, 1