1. A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Whichof thefollowing instructions should the nurse include?
a. Flex the foot every hour when awake. b. Place a pillow under
...
1. A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Whichof thefollowing instructions should the nurse include?
a. Flex the foot every hour when awake. b. Place a pillow under the knee when lying in bed. c. Lower the leg when sitting in a chair. d. Ensure the leg is abducted when resting in bed. The nurse should instruct the client to flex the foot every hour to reduce the risk for
thromboembolism and promote venous return. 2. A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. Whichofthe following findings is an indication of lung re-expansion?
a. The chest tube is draining serosanguineous fluid at 65 mL/hr. b. The client tolerates gentle milking of the tubing. c. Bubbling in the water seal chamber has ceased. d. There is tidaling in the water seal chamber. Bubbling in the water seal chamber ceases when the lung re-expands. 3. A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. Which of the following values should the nurse identify as a desired outcome for this therapy?a. INR 1
b. INR 2.5
c. aPTT 45 seconds
d. aPTT 90 seconds
4. A home health nurse is providing teaching to a client who has a stage 1 pressure injury onthegreatertrochanter of his left hip. Which of the following instructions should the nurse include in theteaching?a. Clean the wound daily with an antiseptic. b. Use a donut-shaped pillow when sitting in a chair. c. Change position every hour. d. Massage the area two times daily
5. A nurse is assessing a client following the completion of hemodialysis. Which of the followingfindingsisthe nurse’s priority to report to the provider?
a. Temperature 37.2° C (99° F)
b. Blood pressure 100/70 mm Hg
c. Weight loss
d. Restlessness
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