A nurse is discharging a client to a short-term rehabilitation center after a joint replacement. ...

A nurse is discharging a client to a short-term rehabilitation center after a joint replacement. Which action by the nurse is most important?
 
  a. Administering pain medication before transport
  b. Answering any last-minute questions by the client
  c. Ensuring the family has directions to the facility
  d. Providing a verbal hand-off report to the facility

Question 2

A nurse works in the rheumatology clinic and sees clients with rheumatoid arthritis (RA). Which client should the nurse see first?
 
  a. Client who reports jaw pain when eating
  b. Client with a red, hot, swollen right wrist
  c. Client who has a puffy-looking area behind the knee
  d. Client with a worse joint deformity since the last visit

Question 3

After a total knee replacement, a client is on the postoperative nursing unit with a continuous femoral nerve blockade. On assessment, the nurse notes the client's pulses are 2+/4+ bilaterally; the skin is pale pink, warm, and dry;
 
  and the client is unable to dorsiflex or plantarflex the affected foot. What action does the nurse perform next?
 
  a.
  Document the findings and monitor as prescribed.
  b.
  Increase the frequency of monitoring the client.
  c.
  Notify the surgeon or anesthesia provider immediately.
  d.
  Palpate the client's bladder or perform a bladder scan.

Question 4

A client has a continuous passive motion (CPM) device after a total knee replacement. What action does the nurse delegate to the unlicensed assistive personnel (UAP) after the affected leg is placed in the machine while the client is in bed?
 
  a. Assess the distal circulation in 30 minutes.
  b. Change the settings based on range of motion.
  c. Raise the lower siderail on the affected side.
  d. Remind the client to do quad-setting exercises.

Question 5

What action by the perioperative nursing staff is most important to prevent surgical wound infection in a client having a total joint replacement?
 
  a. Administer preoperative antibiotic as ordered.
  b. Assess the client's white blood cell count.
  c. Instruct the client to shower the night before.
  d. Monitor the client's temperature postoperatively.