An osteoporosis-related fall necessitated hip replacement surgery for an older female adult who is entering a rehabilitation facility. Which is the nurse's priority goal during this woman's rehabilitation?
a. Eat whole grains, fruits, and vegetables.
b. Recapture preoperative mobility status.
c. Keep the surgical wound clean and dry.
d. Tell her to take two steps into the walker.
B
Feedback
A Incorrect. Increasing dietary fiber and nutrient-dense foods is an intervention to help to maintain regular bowel habits and repair and build tissue; it is integral to postoperative and rehabilitative care for an older adult but not the highest prior-ity.
B Correct. Only 40% of people who have an osteoporosis-related fracture recupe-rate their pre-fall mobility status, so the most important goal for the nurse is to plan care designed to restore her baseline mobility status. This is a comprehen-sive goal encompassing nutrition, exercise, rest, and physical therapy and pre-venting postoperative complications that can plague older adults such as atelec-tasis and pneumonia, impaired skin integrity, constipation, and dehydration.
C Incorrect. Preventing infection and promoting skin integrity are integral to postoperative and rehabilitative care for an older adult.
D Incorrect. Instructing the older adult about using a walker properly is an inter-vention and part of the primary goal of restoring preoperative mobility.
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A. Is able to explain the rationale for the bracing B. No redness or breakdown seen under the brace C. Participates in social activities with friends D. Wears brace continuously for 20 hours each day
The night nurse is reviewing the vital signs of a client in an extended care facility. The nurse notes the client's oral temperature at 6 a.m. was 98.0 °F, but that evening, the client's oral temperature was 99.2 °F. What is this variation indicative of?
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A 32-year-old female patient is admitted to the floor with a superinfection. Her orders read tigecycline (Tygacil) 100 mg IV followed by 50 mg IV every 12 hours infused over 30 to 60 minutes for 5 days
What would be important for the nurse to educate this patient about? A) Analgesics B) Antihistamines C) Contraceptives D) Decongestants
Privately paid health insurance is not an option for many persons because
A. Many people have learned how to obtain free care and thus do not need health insurance. B. Many people prefer to spend their money on other, higher priority needs than health insurance. C. The monthly premiums are just too high to be affordable. D. There is no need for insurance if you are young and healthy.