An OA-related fall necessitated hip replacement surgery for an older woman who is entering a rehabilitation facility. Which of the following is the nurse's priority goal during this woman's rehabilitation?
a. Incorporate whole grains into her diet.
b. Recapture preoperative mobility status.
c. Keep the surgical wound clean and dry.
d. Tell her to take two steps into the walker.
B
Only 40% of people who have an OA-related fracture recuperate to their prefall mobility status; therefore the most important goal for the nurse is to plan care designed to restore her baseline mobility status. This comprehensive goal encompasses nutrition, exercise, rest, and physical therapy and prevents postoperative complications, such as atelectasis and pneumonia, impaired skin integrity, constipation, and dehydration, which can plague older adults. Increasing dietary fiber and nutrient-dense foods is an intervention to help maintain regular bowel habits and to re-pair and build tissue; it is integral to postoperative and rehabilitative care for an older adult but is not the highest priority. Preventing infection and promoting skin integrity are integral to post-operative and rehabilitative care for an older adult. Instructing the older adult about properly us-ing a walker is an intervention and part of the primary goal of restoring preoperative mobility.
You might also like to view...
Directions: Write the equivalent indicated. 15 mg = _____ mcg
ANS:
After a natural disaster hits the community, a grassroots organization is formed to improve conditions post-recovery. The nurse joins the organization and volunteers to contact public officials about the organization's concerns. This role is best describe
1. Politician. 2. Activist. 3. Citizen. 4. Researcher.
The physician prescribes propranolol for a patient with a blood pressure reading of 200/106 . An electrocardiogram taken shortly afterward shows an AV block. The nurse should immediately report this finding for which reason?
a. Lowering the blood pressure will require a least two different drugs. b. Beta blockers can intensify an AV block. c. There could be some reflex tachycardia associated with this agent. d. The drug may cause a cough, which might further disrupt the cardiac rhythm.
The nurse closely assesses clients who experience crushing injuries and are in shock because they are more prone than other clients to develop
a. adult respiratory distress syndrome. b. disseminated intravascular clotting. c. fat emboli and respiratory distress. d. uncompensated metabolic alkalosis.