The nurse is contributing to the plan of care for a patient recovering from total hip replacement. Which exercises should the nurse recommend to help prevent deep vein thrombosis (DVT) formation? (Select all that apply.)
a. Foot circles
b. Toe touches
c. Heel pumping
d. Deep knee bends
e. Quadriceps setting
f. Straight leg raises (SLRs)
ANS: A, C, E, F
Because most DVTs occur in the lower extremities, leg exercises are started in the immediate postoperative period and include heel pumping, foot circles, and SLRs. The patient also performs quadriceps-setting exercises (quad sets). B. D. Deep knee bends and toe touches are not standard postoperative exercises and would be restricted in a patient with a total hip replacement due to restricted hip flexion.
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A student nurse prepares a list of teaching topics for a patient with a new diagnosis of breast cancer. Which item should the charge nurse suggest that the student nurse omit from the teaching topic list about breast cancer diagnostic testing?
a. CA 15-3 level testing b. HER-2 receptor testing c. Estrogen receptor testing d. Oncotype DX assay testing
Mortality rates are key epidemiologic indicators to nurses. They reflect serious health prob-lems and changing patterns of disease. Which of the following is true about mortality rates? Mortality rates:
1. Are informative only for fatal diseases 2. Provide information about existing disease in the population 3. Are calculated using a population estimate at year-end 4. Reveal the risk of getting a particular disease
A nursing assistant reports an incident of on-the-job sexual harassment to her employer. In this example, the facility must
A) respond only if the source of harassment is another employee. B) respond promptly and appropriately to the claim. C) review the assistant's employment record before responding to the claim. D) suspend the assistant until details of the harassment claim are settled legally.
An adolescent client is brought to the emergency department (ED) with fatigue, weight loss, a dry cough, and night sweats. The family just recently immigrated to the United States
Based on this data, for which potential risk should the nurse include when planning care for this client? A) Pneumothorax B) Pneumonia C) Renal failure D) Septicemia