Lloyd Bennett Surgical Scenario 5-vSim for Nursing Questions and Answers 100% correct

Lloyd Bennett Surgical Scenario 5-vSim for Nursing Questions and Answers 100% correct T or False? A patient who has had a fractured hip surgically repaired should be positioned with a wedge pillow between the legs to promote abduction. True Appropriate interventions to prevent Deep Vein Thrombosis DVT post-operatively in a patient who has undergone hip arthroplasty? 1-Anti-Embolism Stockings 2-Ankle Exercises 3-Pneumatic Compression Device 4-Prophylactic Anticoagulant Pt with blood loss during surgery, in what direction would the nurse expect the postoperative hemoglobin level to change from the preoperative level? Decrease from preoperative level Which nursing action is appropriate before administering a unit of packed red blood cells? Educate the pt on the S&S of a blood reaction. The nurse must constantly monitor a pt receiving a blood transfusion to ensure that there are no reactions or complications. Which of the following are S&S of a blood transfusion reaction? Dyspnea Nausea Fever, Chills, Or Rigors Low Back Pain With a suspected blood transfusion reaction, what would the nurse's immediate priorities be? 1-Stop tranfusion 2-Replace tubing containing blood, do not flush IV with blood, New tubing primed with Normal Saline. 3-Vital Signs Check. 4-Notify Provider without leaving PT. 5-Verigy Pt ID with Blood Label (To verify the cause was not a blood mismatch). 6-Treat PT. 7-Notify Blood lab/bank per hospital protocol/policy. Most dangerous type of blood transfusion? Acute Hemolytic Recipient antibodies destroy donor RBC For a PT recovering from hip arthroplasty, the nurse considers what intervention to help prevent leg rotation and pressure ulcer on the heel? Cradle boot Which of the following nursing assessment findings would indicate the complication of bleeding following hip replacement surgery? 400 mL of blood in 8 hours in the drain device. Which of the following nursing assessment findings suggests neurovascular dysfunction following a total hip arthroplasty? Diminished sensation on sole of foot. Proper positioning of Lloyd Bennett's hip joint postoperatively includes which of the following? Limited hip flexion Abduction Neutral rotation The nurse should assess Lloyd Bennett postoperatively for what complications directly related to the hip arthroplasty? Dislocation of the prosthesis Infection Deep vein thrombosis The nurse understands that long-term complications of hip arthroplasty include which of the following? Heterotopic ossification Avascular necrosis Loosening of the prosthesis Which of the following actions should the nurse avoid when preparing for a blood transfusion? Add the prescribed antibiotic to the blood container to reduce infection. During the first 15 minutes after initiating the blood transfusion, the nurse maintains the transfusion at what rate? Slowly, no more than 5 mL/min The nurse understands that a unit of packed red blood cells must be transfused within what period of time? 4 hours What should be the nurse's immediate first priority when first suspecting Lloyd Bennett was having a transfusion reaction? Stop the transfusion