which of the following clients are at an increased risk for deep vein thrombosis following a reduction and internal fixation of the hip select all tha

ATI RN

Multi Dimensional Care | Final Exam

1. Which of the following clients are at an increased risk for deep vein thrombosis following a reduction and internal fixation of the hip? (Select all that apply)

A. A client on birth control pills
B. A client who is immobile
C. A client on an anticoagulant
D. A client with dementia who has been wandering

Correct answer: a

Rationale: Clients on birth control pills, immobile, and smokers are at increased risk of DVT after hip surgery.

2. The following client come to the ophthalmology clinic. Which client needs to be seen first?

A. Client who had recent cataract surgery and has worsening vision
B. Client with an absent red reflex on ophthalmic examination
C. Client with an intraocular pressure of 24 mm Hg
D. Client with a tearing, reddened eye with exudate

Correct answer: A

Rationale: Worsening vision after cataract surgery requires immediate attention to prevent complications.

3. A client has an open wound with creamy thick yellow drainage. How would the nurse document this finding?

A. Purulent
B. Serosanguinous
C. Sanguineous
D. Serous

Correct answer: A

Rationale:

4. What is not a nursing intervention for a client with osteoporosis?

A. Nurse will encourage the intake of adequate amounts of calcium and vitamin D
B. Nurse will encourage the client to complete weight-bearing exercises
C. Nurse will encourage the client to avoid muscle strengthening exercises
D. Nurse will encourage the client to avoid repetitive movements

Correct answer: C

Rationale: The correct answer is C. Avoiding muscle strengthening exercises is not recommended for clients with osteoporosis; on the contrary, weight-bearing exercises are beneficial. Choice A is correct as ensuring adequate calcium and vitamin D intake is essential for bone health. Choice B is also correct as weight-bearing exercises help improve bone density. Choice D is incorrect because avoiding repetitive movements is not a standard nursing intervention for osteoporosis.