A nurse is caring for a client after joint replacement surgery. ...

[jasdeep_brar]

A nurse is caring for a client after joint replacement surgery. What action by the nurse is most important to prevent wound infection?
 
  a. Assess the client's white blood cell count.
  b. Culture any drainage from the wound.
  c. Monitor the client's temperature every 4 hours.
  d. Use aseptic technique for dressing changes.

Question 2

A client in the orthopedic clinic has a self-reported history of osteoarthritis. The client reports a low-grade fever that started when the weather changed and several joints started acting up, especially both hips and knees. What action by the nurse is
 
  best?
  a.
  Assess the client for the presence of subcutaneous nodules or Baker's cysts.
  b.
  Inspect the client's feet and hands for podagra and tophi on fingers and toes.
  c.
  Prepare to teach the client about an acetaminophen (Tylenol) regimen.
  d.
  Reassure the client that the problems will fade as the weather changes again.

[matt95]

Answer to Question 1

ANS: D
Preventing surgical wound infection is a primary responsibility of the nurse, who must use aseptic technique to change dressings or empty drains. The other actions do not prevent infection but can lead to early detection of an infection that is already present.

Answer to Question 2

ANS: A
Osteoarthritis is not a systemic disease, nor does it present bilaterally. These are manifestations of rheumatoid arthritis. The nurse should assess for other manifestations of this disorder, including subcutaneous nodules and Baker's cysts. Podagra and tophi are seen in gout. Acetaminophen is not used for rheumatoid arthritis. Telling the client that the symptoms will fade with weather changes is not accurate.