A client returns to the medical-surgical unit after a total hip replacement with a large wedge-shaped pillow between his legs. The client's daughter asks the nurse why the pillow is in place. What is the nurse's best response?
a. "It will help prevent bedsores from de-veloping."
b. "It will help prevent nerve damage and foot drop."
c. "It will keep the new hip from becoming dislocated."
d. "It will prevent climbing out of bed if he becomes confused."
C
Adduction of the operative leg beyond the midline could dislocate the new hip. The wedge pil-low will help prevent this from happening. The wedge will not prevent bedsores from developing because it does not prevent pressure. The pillow will not prevent foot drop, because it is placed between the legs. The pillow is not a restraining device, and it will not prevent the client from climbing out of bed.
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A client has been prescribed a drug that specifically targets her cancer's proteins and pathways. How should the nurse explain the benefits of this drug?
1. "This drug will be much safer to take than drugs that do not specifically target your cancer." 2. "There will be fewer adverse effects from this drug." 3. "This drug is designed to kill only abnormal cells." 4. "This drug is less expensive than other chemotherapeutic drugs."
Two hours after delivery, a client's fundus is boggy and has risen to above the umbilicus. What is the first action the nurse would take?
1. Massage the fundus until firm 2. Express retained clots 3. Increase the intravenous solution 4. Call the physician