the nurse is planning care for a post operative client after a total hip arthroplasty what is the priority nursing intervention

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse is planning care for a post-operative client after a total hip arthroplasty. What is the priority nursing intervention?

A. Observe client for changes in mental status
B. Use aseptic technique for wound care and emptying of drains
C. Keep the client's heels off the bed
D. Perform neurovascular assessments per protocol

Correct answer: D

Rationale:

2. A client has AIDS. Which of these findings indicate possible infection?

A. Respirations; 22 breaths per minute
B. Client ambulates 20 feet
C. Purulent drainage
D. Oxygen saturation; 97% on room air

Correct answer: C

Rationale:

3. Which nonpharmacological intervention does not help reduce edema?

A. Heat therapy
B. Passive range of motion (PROM)
C. Elevation of the extremity
D. Cold therapy

Correct answer: A

Rationale: The correct answer is A: Heat therapy. Heat therapy can vasodilate blood vessels, increasing blood flow to the area and potentially exacerbating edema. Passive range of motion (PROM), elevation of the extremity, and cold therapy are all beneficial interventions for reducing edema. PROM helps with circulation, elevation assists in reducing fluid accumulation, and cold therapy can help constrict blood vessels and decrease swelling.

4. Which of the following statements by a client with human immunodeficiency virus (HIV) does NOT requires further teaching?

A. I can spread this through contact with surfaces, so I need to wear gloves in public.'
B. Because I have HIV, that means I'm an AIDS patient'
C. I need to ensure that I place my needles in a proper needle disposal container.'
D. I can still have unprotected intercourse with my partner since he does not have HIV.'

Correct answer: C

Rationale: