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Terms in this set (93)
A nurse is contributing to the plan of care for a client who is at risk for osteoporosis.
Which of the following interventions should the nurse include to prevent bone loss?
Encourage weight-bearing exercises.
r-Weight-bearing exercises, such as walking, can maintain bone mass by reducing
bone demineralization, thus helping to prevent osteoporosis.
, A nurse is reinforcing discharge instructions with a client who is postoperative
following a right hip arthroplasty. Which of the following statements should the
nurse make?
Avoid bending your hips more than 90 degrees. ( to prevent dislocation of the
replacement hip).
- Nurse should instruct client to wait 90 days before crossing legs. Crossing legs
early int heh postoperative period can result in dislocation of the replacement hip.
-Nurse should inform the client that she ay lie on her operative side with a pillow
between her legs. This will not injure the suture site or cause dislocation of the
replacement hip.
- Nurse should instruct the client to sleep on a firm mattress to avoid potential
dislocation of the replacement hip.
A nurse is reinforcing discharge teaching for the caregivers of a client who has
Parkinson's disease. Which of the following information should the nurse include in
the teaching?
Remind the client to avoid watching their feet when walking.
A nurse is assisting in the care of a client who has manifestations of sepsis. Which
of the following provider prescriptions should the nurse implement first?
Initiate oxygen at 4L/min via nasal cannula.
Rationale:
The nurse should remind the client to have a pneumococcal immunization at age
65 and every 10 years thereafter to protect them from acquiring pneumonia.
---------------------------
The nurse should collect a sputum culture to identify the organism causing the
client's infection. Antimicrobial sensitivities are obtained from the sputum culture to
guide the provider in prescribing antibiotics. However, there is another prescription
the nurse should implement first.
The nurse should administer antibiotics to treat the infection. A broad spectrum
antibiotic, such as ceftriaxone, is administered when sepsis is suspected because
it treats both gram-positive and gram-negative bacteria. After the results of the
blood and sputum cultures are obtained, the provider will often change to a more
specific antibiotic. However, there is another prescription the nurse should
implement first.
The nurse should obtain blood cultures to identify the organism causing the client's
infection. Antimicrobial sensitivities obtained from the blood cultures will guide the
provider in prescribing treatment. However, there is another prescription the nurse
should implement first.