A client is scheduled for a total left knee arthroplasty in 2 weeks. When would the best time for postoperative nursing management begin?
A) Before surgery
B) When the client is taken to the postanesthesia care unit
C) After the client returns to the room after surgery and receives pain medication
D) Twenty-four hours after the procedure
A
Feedback:
Ideally, postoperative nursing management begins before surgery with demonstrations of deep-breathing and coughing exercises and descriptions and demonstrations of the incentive spirometer. Even if the client will have postoperative physical therapy, the nurse explains and helps the client practice active and isometric leg exercises. He or she also describes other devices that may be used after surgery, such as intravenous infusions of fluid and blood, oxygen, a wound drain, elastic stockings, or roller bandages. It also is necessary to include a discussion of the possible use of traction or the CPM machine. The other options offered do not allow adequate time for instruction.
You might also like to view...
If external fixation is needed to stabilize the reduced fracture, the surgeon secures the bone with metal screws, plates, rods, nails, or pins
Indicate whether the statement is true or false
The T4/T8 ratio of a client with AIDS is decreasing. What is the correct interpretation of this finding?
A. The T4 cells (CD4+ cells) are increasing in number. B. The T4 cells (CD4+ cells) are decreasing in number. C. The T8 cells (CD8+ cells) are increasing in number. D. The T8 cells (CD8+ cells) are decreasing in number.
The nurse asks what the client did prior to today's admission. The client states, "I went to my friend's house. He is a cop. I've been stopped by the police in my red car. I was on my way to Kansas City.". The nurse would:
A) Ignore the client's answer and ask another question. B) Refocus the client on the question. C) Ask which friend's house. D) Teach about clarification.
There is talk that the local RNs are considering to join the union. When considering the pros and cons to joining, which factors are reasons to join a union? (Select all that apply.)
A) Eliminate favoritism B) Will promote the free enterprise C) Enforce management's viewpoint D) Unions will recognize the individual contribution E) Will improve client outcomes