Question

13. A femoral head replacement was performed on an elderly elient. Post-operatively the nurse positions the client with an abductor pillow between the client's legs, What is the primary reason for this? 1. This position will promote greater comfort. 2. Abduction will prevent the prosthesis from snapping out of the socket. 3. Abduction will prevent the prosthesis from snapping out of the socket. 4. This position will help to prevent pressure on the sciatic nerve. 14. The client with rbeumatoid arthritis has been taking 15 or 20 extra-strength aspirin a day. Which additional statement she makes would be of greatest concerm to the nurse? 1. "I sometimes have ringing in my ears." 2. "I have a rash under my arms." 3. "My fingers are swollen sometimes." 4. "I don't have very much energy. 15. The physician orders prednisone for a elient with rheumatoid arthritis for painful wrists and joints, Which instruction is it essential for the nurse to give the client? 1. "Take the pills with milk or food." 2. "Be sure to take the medication between meals." 3. "Stop the pills at once if your face begins to get puffy." 4. "Your urine may turn pinkish while taking this." 16. The client is a 64-year-old male admitted to the hospital with severe pain in his right big toe, which is red and swollen. Which nursing care measure is most essential for the nurse to perform at this time? 1. Use a bed cradle on the bed. 2. Put a bed board on the bed. 3. Obtain a heat lamp. 4. Prepare to catheterize the client. 17. The nurse is to give the client with gout one tablet of colchicines every hour until relief or toxicity occurs. Which of the following is an indication for stopping the colchicines? 1. Ringing in the ears 2 Nausea and vomiting 3. A rash on the client's hips 4. A temperature of 101 F 18. The nurse is teaching the client with gout about a diet low in purines. Which of the 4 asssesme a) distended neck b) hepatomegaly

Answer 1

m msE E enery 13. A femoral head replacement was performed on an elderly client. Post-operatively the nurse positions the client with an abductor pillow betwween the client's legs What is the primary reason for this? Placing the abductor pillow between the client's legs may or may not be comfortable, but it prevents the prosthesis from snapping out of the socket 1. This position will promote greater comfort. Abduction will prevent the prosthesis from snapping out of the socket. Abduction will prevent the prosthesis from snapping out of the socket. This position will help to prevent pressure on the sciatic nerve. 14. The client with rheumatoid arthritis has been taking 15 or 20 extra-strength aspirin a day. Wich additional statement she makes would be of greatest concern to the nurse? Ringing in the ears or tinnitus is a side effect of aspirin. Swollen fingers and fatigue are common in rheumatoid arthritis patients. Rash under the arms is nat related to aspirin ingestion "I sometimes have ringing in my ears." 2. "I have a rash under my arms." 3. "My fingers are swollen sometimes." 4. "I don't have very much energy." 15. The physician orders prednisone for a client with rheumatoid arthritis for wrists and joints. Which instruction is it essential for the nurse to give the client? "Take the pills with milk or food." "Be sure to take the medication between meals." 3. "Stop the pills at once if your face begins to get puffy." 4. "Your urine may turn pinkish while taking this." righ Corticosteroids are taken with food or milk to reduce the irritation caused by them and thus, minimize the chances of ulcer formation. Puffy face is a side effect of corticosteroids, and steroids should not be ceased abruptly. Steroids do not turn urine to pink color