An OA-related fall necessitated hip replacement surgery for an ...

[mckennatimberlake]

An OA-related fall necessitated hip replacement surgery for an older woman who is entering a rehabilitation facility. Which of the following is the nurse's priority goal during this woman's rehabilitation?
 
  a. Incorporate whole grains into her diet.
  b. Recapture preoperative mobility status.
  c. Keep the surgical wound clean and dry.
  d. Tell her to take two steps into the walker.

Question 2

Which factor(s) are associated with the provision of culturally competent care? (Select all that apply.)
 
  a. Cultural awareness c. Cultural skills
  b. Cultural knowledge d. Cultural connec-tions

[kxciann]

Answer to Question 1

B
Only 40 of people who have an OA-related fracture recuperate to their prefall mobility status; therefore the most important goal for the nurse is to plan care designed to restore her baseline mobility status. This comprehensive goal encompasses nutrition, exercise, rest, and physical therapy and prevents postoperative complications, such as atelectasis and pneumonia, impaired skin integrity, constipation, and dehydration, which can plague older adults. Increasing dietary fiber and nutrient-dense foods is an intervention to help maintain regular bowel habits and to re-pair and build tissue; it is integral to postoperative and rehabilitative care for an older adult but is not the highest priority. Preventing infection and promoting skin integrity are integral to post-operative and rehabilitative care for an older adult. Instructing the older adult about properly us-ing a walker is an intervention and part of the primary goal of restoring preoperative mobility.

Answer to Question 2

A, B
As nurses move toward cultural competence, they increase their cultural awareness, knowledge, and skills. Cultural competence means having the skills to put cultural knowledge to use in as-sessment, communication, negotiation, and intervention. Cultural connections have not been identified as a factor.