Nursing - 309 Exam 2 (with Complete Solutions)

When educating a patient about total joint arthroplasty (TJA), what does the nurse do first? correct answers Assesses the patient's knowledge about TJA. For pre operative care of a patient scheduled for TJA. What does the nurse plan to do? correct answers Provide written or videotaped information about the procedure. Assess the patient's understanding of the procedure. Assess and include the patient's support people or family. Include interdisciplinary providers, if possible. Which are contraindications for TJA? correct answers Infection. Advanced osteoporosis. Severe inflammation. The nurse is preparing an educational session for a patient who is scheduled to undego hip replacement. Which potential complications does the nurse make the patient aware of? correct answers Venous thromboembolism. Hip dislocation. Neurovascular compromise. Infection. The nurse is preparing an educational program for student nurses on the orthopedic unit. Which three signs of hip dislocation would be included in this offering? correct answers Increased pain. Leg rotation. Shortening of affected leg. Which interventions can the nurse use to prevent or manage infections in patients who have undergone total joint replacement? correct answers Use aseptic technique for wound care and emptying of drains. Wash hands thoroughly when caring for patients. Culture drainage fluid if a change is observed. Report excessive inflammation or drainage to the provider. The patient has returned from the post anesthesia care unit after TJR. Which interventions will the nurse use to prevent venous thromboembolism? correct answers Apply sequential compression devices (SCDs). Administer subcutaneous enoxaparin (Lovenox) as ordered. Teach the patient to perform leg exercises such as flexion and dorsiflexion. Which pre operative tests are performed for a patient scheduled to undergo a total hip arthroplasty (THA)? correct answers x-ray of operative hip. Computed tomography (CT) of operative hip. Magnetic resonance imaging (MRI) of operative hip.