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NURS 309 Q4 update Questions With Complete Solutions
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NURS 309 Q4 update Questions With Complete Solutions
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NURS 309 Q4 update Questions With Complete Solutions16. When educating a patient about total joint arthroplasty
(TJA), what does the nurse do first?
a. Asks whether the patient has insurance
b. Reviews instructions and asks the patient to repeat them back
c. Assesses the patient's knowledge about TJA
d. Asks if the provider has explained the procedure Correct
Answers c. Assesses the patient's knowledge about TJA
17. For preoperative care of a patient scheduled for TJA, what
does the nurse plan to do? (Select all that apply.)
a. Provide written or videotaped information about the
procedure.
b. Assess the patient's understanding of the procedure.
c. Assess and include the patient's support people or family.
d. Include interdisciplinary providers, if possible.
e. Assist in scheduling needed dental procedures after the
surgery. Correct Answers a. Provide written or videotaped
information about the procedure.
b. Assess the patient's understanding of the procedure.
c. Assess and include the patient's support people or family.
d. Include interdisciplinary providers, if possible.
18. Which are contraindications for TJA? (Select all that apply.)
a. Infection
b. Severe pain
c. Advanced osteoporosis
,d. Severe inflammation
e. Open wound Correct Answers a. Infection
c. Advanced osteoporosis
d. Severe inflammation
19. The nurse is preparing an educational session for a patient
who is scheduled to undergo hip replacement. Which potential
complications does the nurse make the patient aware of? (Select
all that apply.)
a. Venous thromboembolism
b. Hip dislocation
c. Overgrowth of bone
d. Neurovascular compromise
e. Infection Correct Answers a. Venous thromboembolism
b. Hip dislocation
d. Neurovascular compromise
e. Infection
20. 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? (Select all that
apply.)
a. Increased pain
b. Hip flexing of 45 degrees
c. Shortening of affected leg
d. Leg ratation
e. Skin breakdown near the incision Correct Answers a.
Increased pain
c. Shortening of affected leg
, d. Leg ratation
21. Which interventions can the nurse use to prevent or manage
infections in patients who have undergone total joint
replacement (TJR)? (Select all that apply.)
a. Use aseptic technique for wound care and emptying of drains.
b. Wash hands thoroughly when caring for patients.
c. Culture drainage fluid if a change is observed.
d. Encourage early ambulation along with leg exercises.
e. Report excessive inflammation or drainage to the provider.
Correct Answers a. Use aseptic technique for wound care and
emptying of drains.
b. Wash hands thoroughly when caring for patients.
c. Culture drainage fluid if a change is observed.
e. Report excessive inflammation or drainage to the provider.
22. The patient has returned from the postanesthesia care unit
(PACU) after TJR. Which interventions will the nurse use to
prevent venous thromboembolism? (Select all that apply.)
a. Apply sequential compression devices (SCDs)
b. Administer subcutaneous enoxaparin (Lovenox) as ordered.
c. Keep the patient on bedrest for the first and second days
postoperatively.
d. Teach the patient to perform leg exercises such flexion and
dorsiflexion.
e. Instruct the patient to have blood drawn for INR every month
Correct Answers a. Apply sequential compression devices
(SCDs)
b. Administer subcutaneous enoxaparin (Lovenox) as ordered.
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