1.ID: 9477033456
A client is being discharged home after a routine hip replacement surgery. The nurse is instructing the client on how to prevent postoperative complications. What statements by the client would indicate
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1.ID: 9477033456
A client is being discharged home after a routine hip replacement surgery. The nurse is instructing the client on how to prevent postoperative complications. What statements by the client would indicate the need for further teaching?
Select all that apply.
A. “Limiting fiber is necessary to avoid diarrhea.” Correct
B. “I should empty my bladder when I feel the urge.”
C. “Avoiding pain medication will prevent constipation.” Correct
D. “I should drink plenty of liquids like iced tea or coffee.” Correct
E. “I should continue with my physical therapy and walking.”
Rationale: Constipation is common after surgery due to pain medication, decreased movement, and anesthesia. Fiber intake should be encouraged as it promotes the prevention of stool retention. Although pain medication can cause constipation, it should not be avoided in the post-operative period. Drinking plenty of fluids is encouraged for both bowel and bladder maintenance, but the client should choose non-caffeinated options. Physical therapy, walking, and exercise will help prevent constipation. Emptying the bladder when the urge is
present can help prevent urinary tract infections.
Test taking strategy: Note the strategic words need for further teaching. These words indicate a negative event query and the need to select the incorrect client statements. Think about the measures needed for bowel and bladder control to
answer correctly. Review: bowel and bladder maintenance.
Level of Cognitive Ability: Evaluating Client Need: Physiological Integrity Integrated Process: Teaching and Learning
Content Area: Fundamentals of Care: Perioperative Care
Giddens Concepts: Client Education, Health Promotion
HESI Concepts: Health Promotion, Teaching and Learning/Patient Education
References: Giddens, J. (2013). Concepts for nursing practice. (p. 143). St.
Louis, MO: Mosby.
Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical
nursing: Assessment and management of clinical problems (9th
ed., pp. 969, 1089-1090). St. Louis: Mosby. Awarded 3.0 points out of 3.0 possible points.
2.ID: 9477039828
The nurse is caring for a Vietnamese client diagnosed with tuberculosis. The
client speaks limited English. What should the nurse do to ensure the client and family receives the most accurate information? Select all that apply.
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