Joint Arthroplasty- Hip Replacement/ Knee Replacement/ Hip Prosthesis (Exam 4) under 'Osteoarthritis Surgery' Questions And Answers

Joint Arthroplasty- Hip Replacement/
Knee Replacement/ Hip Prosthesis
(Exam 4) under 'Osteoarthritis Surgery'
Questions And Answers
Atclienttundergoestattotalthiptreplacement.tWhichtstatementtbytthetclienttindicatesthetrequir
estfurthertteaching?

1.t"I'lltneedttotkeeptseveraltpillowstbetweentmytlegstattnight."t
2.t"I'lltneedttotremembertnotttotcrosstmytlegs.tIt'stsuchtatbadthabit."t
3.t"Thetoccupationalttherapisttistshowingtmethowttotusetat'socktpuller'ttothelptmetgettdressed
."t
4.t"Itdon'ttknowtiftI'lltbetablettotgettofftthattlowttoilettseattatthometbytmyself."t-
tCORRECTttANSWER-

4.t"Itdon'ttknowtiftI'lltbetablettotgettofftthattlowttoilettseattatthometbytmyself."
Indicatestthattthetclientthastatpoortunderstandingtoftthetprecautionstrequiredtaftertattotalthiptr
eplacementtandtthatthetneedstfurthertteaching.tRemember:tIftyoutseetthetphrasetfurtherttea
chingtortfurthertinstruction,tyou'retlookingtfortatwrongtanswertbytthetclient.

Topic:tHiptReplacement-tDislocationtPrecautions
MaintTopic:tOsteoarthritis-tSurgery
Ref:tNCLEXtMadetEasy

Atclienttundergoestattotalthiptreplacement.tWhichtstatementtbytthetclienttindicatesthetrequir
estfurthertteaching?t

1.t"I'lltneedttotkeeptseveraltpillowstbetweentmytlegstattnight."t
2.t"I'lltneedttotremembertnotttotcrosstmytlegs.tIt'stsuchtatbadthabit."t
3.t"Thetoccupationalttherapisttistshowingtmethowttotusetat'socktpuller'ttothelptmetgettdressed
."t
4.t"Itdon'ttknowtiftI'lltbetablettotgettofftthattlowttoilettseattatthometbytmyself."t-
tCORRECTttANSWER-

4.t"Itdon'ttknowtiftI'lltbetablettotgettofftthattlowttoilettseattatthometbytmyself."

PatienttdoestnottunderstandtthatttheytwilltusetantELEVATEDtTOILETtSEAT.

, Topic:tHiptReplacement-tDislocationtPrecautions
MaintTopic:tOsteoarthritis-tSurgery
Ref:tNCLEXtMadetEasy

Atnursetintantacutetcaretfacilitytistplanningtcaretfortatclienttwhotistalerttbutttemporarilytimmobi
letduettotattotalthiptarthroplasty.tWhichtoftthetfollowingtinterventionstshouldtthetnursetplanttott
akettotpreventtatcomplicationtoftimmobility?t

A.tMovetthetclienttfromtsupinettotatlowtFowler'stpositionteveryt2-
3thrttothelptpreventtorthostaticthypotensiont
B.tLimittfluidtintakettot1tLt(33.8toz)tint24thrttothelptpreventtdependenttedemat
C.tEncouragetthetclientttotturntfromtsidettotsideteveryt3-
4thrttothelptpreventtrespiratorytcomplicationst
D.tInstructtthetclientttotperformtfoottandtlegtexercisesteveryt1-
2thrtwhiletawakettothelptpreventtthrombophlebitist-tCORRECTttANSWER-
D.tInstructtthetclientttotperformtfoottandtlegtexercisesteveryt1-
2thrtwhiletawakettothelptpreventtthrombophlebitist

Antiembolictexercisest(e.g.tflexiontoftthetkneestandtrollstandtpumpstoftthetfeettandtankles)te
veryt1-2thoursthelptpreventtthrombophlebitis,twhichtistatcomplicationtoftimmobility.

Topic:tHiptReplacement-tImmobilitytComplication
MaintTopic:tOsteoarthritis-tSurgery
Ref:tATI

Atnursetistcaringtfortatclienttfollowingtathiptarthroplasty.tThetnursetplacestantabductiontpillowt
ontthetclienttfortwhichtoftthetfollowingtpurposes?t

A.tTotraisetthetbedtlinenstofftthetclient'stfeetttotpreventtplantartflexiont
B.tTotkeeptthetclient'stheelstofftthetbedttotpreventtpressuretulcerst
C.tTotpositiontthetclienttofftthetoperativetsitetwhiletintbedt
D.tTotpreventtdislocationtoftthethiptduringtpositiontchangestortmovement

Topic:tHiptReplacement-tDislocationtPrecautions
MaintTopic:tOsteoarthritis-tSurgery
Ref:tATIt-tCORRECTttANSWER-
D.tTotpreventtdislocationtoftthethiptduringtpositiontchangestortmovement.

Followingtsurgery,tthetnursetshouldtusetantabductiontpillowttotpreventtdislocationtoftthetnewt
hiptjoint.tThetnursetshouldtplacetthetwedge-
shapedtpillowtbetweentthetclient'stlegsttotpreventtadductiontbeyondtthetmidlinetoftthetbodytd
uringtpositiontchangestortclienttmovement,twhichtcantleadttotsubluxationtorttotaltdislocationt
oftthethiptjoint.