Total Hip & Knee Replacement (NCLEX) Questions And Answers

Total Hip & Knee Replacement (NCLEX)
Questions And Answers
_____5refers5to5the5death5of5tissue5due5to5poor5circulation.5-5CORRECT55ANSWER-
Avascular5necrosis

______5are5giving5when5patients5undergo5total5hip5or5knee5replacements5as5a5way5to5help
5prevent5against5infection.5-5CORRECT55ANSWER-Prophylactic5antibiotics




______5refers5to5a5machine5that5keeps5the5knee5in5constant5motion5thus5preventing5the5fo
rmation5of5scar5tissue5formation.5-5CORRECT55ANSWER-CPM

______5refers5to5a5position5that5involves5the5patient5flat5on5their5back5(or5HOB5slightly5elev
ated)5and5their5toes5pointed5at5the5ceiling5with5no5twists5or5bends.5-
5CORRECT55ANSWER-Neutral5rotation




______5refers5to5rolling5up5a5towel/blanket5and5putting5it5along5the5greater5trochanter5to5ke
ep5the5patients'5foot5from5turning5outwards.5-5CORRECT55ANSWER-Trochanter5roll

______5refers5to5the5movement5of5a5body5part5toward5the5body's5midline.5-
5CORRECT55ANSWER-Adduction




______5refers5to5the5movement5of5a5limb5or5other5part5away5from5the5midline5of5the5body,5
or5from5another5part.5-5CORRECT55ANSWER-Abduction

A5post-
op5total5hip5patient5needs5to5avoid5______5and5______5as5these5actions5will5cause5their5n
ew5hip5to5dislocate.5-5CORRECT55ANSWER-crossing5legs;5bending5over

After5a5total5hip5or5total5knee5replacement,5having5an5over5the5bed5trapeze5will5help5to5___
____5-5CORRECT55ANSWER-
build5upper5body5strength5(good5thing5because5when5the5patient5starts5to5ambulate5they'll5
need5that5upper5body5strength5with5the5walker5and/or5cane,5etc)

After5a5total5hip5or5total5knee5replacement,5the5nurse5should5monitor5the5patients'5drains5(if
5they5have5them)5as5we5don't5want5______.5-5CORRECT55ANSWER-

fluid5to5accumulate5within5the5tissues5(this5could5disrupt5the5suture5lines)

, After5a5total5hip5or5total5knee5replacement,5we5want5the5patient5to5limit5______5of5the5hip5a
s5we5want5______5of5the5hip.5-5CORRECT55ANSWER-flexion;5extension

After5a5total5hip5or5total5knee5replacement,5why5does5the5patient5need5a5firm5mattress?5-
5CORRECT55ANSWER-Because5the5joints5need5support




After5a5total5hip5replacement,5do5we5want5the5patient5in5abduction5or5adduction?5-
5CORRECT55ANSWER-Abduction




After5a5total5hip5replacement,5the5position5you5want5the5patient5in5is5a5______5rotation.5-
5CORRECT55ANSWER-neutral




After5a5total5hip5replacement,5we5want5to5avoid5flexion5of5the5hip,5so5they5nurse5need5to5be
5extra5careful5when5doing5which525things?5-5CORRECT55ANSWER-

Elevating5the5HOB5&5helping5the5patient5get5out5of5bed

After5a5total5hip5replacement,5what5could5flexion5of5the5hip5do?5-5CORRECT55ANSWER-
Dislocate5the5hip

After5a5total5hip5replacement,5what5could5happen5if5the5patient5was5originally5in5neutral5rot
ation5but5has5now5turned5their5foot5outward?5-5CORRECT55ANSWER-Hip5could5dislocate

After5a5total5knee5replacement5surgery,5the5patient5is5instructed5not5to5______5or5______5t
he5knee.5-5CORRECT55ANSWER-hyperextend;5hyperflex

Anytime5that5there's5a5foreign5body5being5surgically5placed5in5a5patients'5body5(ex.5heart5v
alve5replacement,5total5knee5replacement,5etc),5we5will5be5giving5______5and5will5need5to5
be5monitoring5for5______.5-5CORRECT55ANSWER-prophylactic5antibiotics;5infection

Anytime5there's5a5foreign5body5within5a5patients'5body,5if5an5infection5gets5into5the5body,5it5
will5______.5-5CORRECT55ANSWER-
travel5to5that5foreign5body5(thats5why5prophylactic5antibiotics5are5given)

Anytime5you5have5a5patient5with5an5orthopeutic5or5joint5problem,5they5need5a5______5matt
ress5because5______.5-5CORRECT55ANSWER-firm;5it5provides5support

Dislocation5can5lead5to5both5______5and5______5damage.5-5CORRECT55ANSWER-
circulatory;5nerve

Hydration5is5important5for5post-
op5total5hip5&5total5knee5patients5because5they're5at5an5increased5risk5for5______5and5___
___5and5so5keeping5the5patient5hydrated5is5one5prevention5method5against5these.5-
5CORRECT55ANSWER-DVT;5PE




If5a5post-
op5total5hip5or5total5knee5replacement5patient5were5to5get5avascular5necrosis,5that5would5