A home health care nurse is visiting a patient after a total hip replacement. What should the nurse include when teaching the patient how to protect the new joint?
a. Put an extension on the toilet seat.
b. Keep the legs crossed when at rest.
c. Frequently change positions from side to side.
d. Slowly pull the knee to the chest twice a day to stretch the hip abductors.
A
Placing an extender on the toilet seat will assist in the objective of not flexing the hip more than 90 degrees. Crossing the legs adducts the hip, which is contraindicated.
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A mother calls the clinic asking for a prescription for Amoxicillin for her 2-year-old son who has what the nurse suspects to be viral rhinitis. What should the nurse explain to this mother?
A) "I will relay your request promptly to the doctor, but I suspect that she won't get back to you if it's a cold." B) "I'll certainly inform the doctor, but if it is a cold, antibiotics won't be used because they do not affect the virus." C) "I'll phone in the prescription for you since it can be prescribed by the pharmacist." D) "Amoxicillin is not likely the best antibiotic, but I'll call in the right prescription for you."
Mr. B, age 72, has a history of heart disease. He insists that his high-fat diet is permissible, however, because he takes a daily supplement of gugulipid, an herb purported to reduce blood cholesterol levels
In talking with the patient, what should Mr. B's nurse do first? A) Suggest that Mr. B ask his doctor for a prescription medication to reduce cholesterol levels B) Review with Mr. B the benefits associated with limiting dietary fat C) Introduce Mr. B to the additional benefits associated with fish oil supplements D) Advise Mr. B to stop using gugulipid, as herbal supplements are not regulated by the FDA
An older client is having visual field testing. The nurse should monitor the client for:
1. dizziness. 2. fatigue. 3. vomiting. 4. pain.
The nurse is assessing a patient whose body mass index is 23 kg/m2. The nurse would suggest which lifestyle goal for this patient?
1. "To lose weight you should eat a lower fat diet." 2. "You might benefit from additional exercise each day." 3. "Add some calorie and nutrient dense foods to your diet to increase your weight." 4. "Be certain your daily sodium intake does not exceed 2400 mg."