Nursing - 309 Post Op Hips and Knees (Iggy Ch 51, 18) exam with complete solutions
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Course
Nursing
Institution
Nursing
When educating a patient about total joint arthroplasty (TJA), what does the nurse do first?
Assesses the patient's knowledge about TJA.
For pre operative care of a patient scheduled for TJA.
What does the nurse plan to do?
Provide written or videotaped information about the procedure.
...
Nursing - 309 Post Op Hips and Knees
(Iggy Ch 51, 18) exam with complete
solutions
When educating a patient about total joint arthroplasty (TJA), what does the
nurse do first? - ANSWER- Assesses the patient's knowledge about TJA.
For pre operative care of a patient scheduled for TJA.
What does the nurse plan to do? - ANSWER- Provide written or videotaped
information about the procedure.
Assess the patient's understanding of the procedure.
Assess and include the patient's support people or family.
Include interdisciplinary providers, if possible.
Which are contraindications for TJA? - ANSWER- Infection. Advanced
osteoporosis. Severe inflammation.
The nurse is preparing an educational session for a patient who is scheduled to
undego hip replacement.
Which potential complications does the nurse make the patient aware of? -
ANSWER- Venous thromboembolism. Hip dislocation. Neurovascular
compromise. Infection.
The nurse is preparing an educational program for student nurses on the
orthopedic unit.
Which three signs of hip dislocation would be included in this offering? -
ANSWER- Increased pain. Leg rotation. Shortening of affected leg.
, Which interventions can the nurse use to prevent or manage infections in
patients who have undergone total joint replacement? - ANSWER- Use aseptic
technique for wound care and emptying of drains.
Wash hands thoroughly when caring for patients.
Culture drainage fluid if a change is observed.
Report excessive inflammation or drainage to the provider.
The patient has returned from the post anesthesia care unit after TJR.
Which interventions will the nurse use to prevent venous thromboembolism? -
ANSWER- Apply sequential compression devices (SCDs).
Administer subcutaneous enoxaparin (Lovenox) as ordered.
Teach the patient to perform leg exercises such as flexion and dorsiflexion.
Which pre operative tests are performed for a patient scheduled to undergo a
total hip arthroplasty (THA)? - ANSWER- x-ray of operative hip. Computed
tomography (CT) of operative hip. Magnetic resonance imaging (MRI) of operative
hip.
A patient is reluctant to consider hip surgery because of fear of blood transfusion
reaction.
What is the nurse's BEST response? - ANSWER- "You could donate your own
blood for several weeks before surgery."
A patient is receiving low molecular weight heparin therapy to prevent post
operative deep vein thrombosis (DVT).
Which routine assessments are most important for this patient during
anticoagulation therapy? - ANSWER- Ensure that anti-embolic stockings or
sequential compression devices are in use.
Monitor complete blood count (CBC) and platelets counts.
Check stools for occult blood.
Monitor the surgical site for bleeding.
The nurse is providing care for a patient scheduled for a THA. Which medications
should the patient receive before surgery? - ANSWER- Anti-hypertensive tablet
orally.
How does a continuous peripheral nerve blockage (CPNB) device work? -
ANSWER- Infuses a local anesthetic into the surgical site.
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