Ati Adult Medical Surgical 2019

A nurse is caring for a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse take? A)Place the affected leg in external rotation. B)Encourage the client to use the incentive spirometer every shift. C)Instruct the client to lean forward when rising from a chair. D)Maintain abduction of the affected extremity. - answer-D)Maintain abduction of the affected extremity. The nurse should ensure that the affected extremity is in a position of abduction to prevent hip dislocation. The nurse should place an abductor pillow or several pillows between the client's legs to keep the affected extremity in abduction while the client is in bed. A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the following statements should the nurse include in the teaching? A)"You will not be able to eat or drink after the procedure until you are able to cough." B)"You will drink a contrast solution 30 minutes prior to the procedure." C)"The purpose of this procedure is to remove excess fluid from your lungs." D)"You will need to lie on your back for 4 to 6 hours following the procedure." - answer-A)"You will not be able to eat or drink after the procedure until you are able to cough." A client who had a bronchoscopy received a local anesthetic that can suppress the cough reflex. The cough reflex protects the client from aspirating fluids or food. Therefore, the client should not eat or drink until the cough reflex returns.