Author Question: An older adult patient who has experienced a left knee replacement asks the nurse, When will I be ... (Read 136 times)

mynx · **on:** Jul 11, 2018

An older adult patient who has experienced a left knee replacement asks the nurse, When will I be back to normal? The nurse responds that

a. What did the surgeon tell you about function after the surgery?
b. Normal means different things to differ-ent people.
c. You should be back to normal after 6 to 8 weeks.
d. Surgery will improve your mobility but I'm not sure about being normal.

Question 2

A nurse is preparing to administer metoprolol (Toprol) to an older male patient. What action by the nurse is best regarding endocrine disorders?

a. Administer the medication as ordered.
b. Check the patient's ID using two sources.
c. Say, Many men experience ED with this drug.
d. Tell the patient to discuss the side effects with his provider.

Swizqar · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
The goal of total knee replacement surgery is to restore at least 90 degrees of knee flexion. However, the patient may have unrealistic expectations, so the nurse should first assess what the patient was told the outcome would be. The other statements do not give accurate information.

Answer to Question 2

C
The nurse should instruct patients on side effects of medications. The nurse can assess if the pa-tient wants to discuss this issue by opening the conversation with a normalizing statement, such as many men have ED on this drug. Is this something you would like to discuss? Although side effects do need to be brought up to the provider, the wording of this statement does not indicate a willingness of the nurse to engage in conversation. The other two options are correct but not related to endocrine dysfunction.