Author Question: The nurse is providing discharge instructions to an older adult client who is going home after ... (Read 74 times)

P68T · **on:** Jun 25, 2018

The nurse is providing discharge instructions to an older adult client who is going home after having a total knee replacement.

Which will the nurse include in the discharge teaching to decrease the client's risk for developing a thrombosis or pulmonary embolism?
Select all that apply.
A) Place pillows under the knees when in bed.
B) Use compression stockings.
C) Limit ambulation.
D) Limit fluids.
E) Continue with leg exercises.

Question 2

Which clinical consideration should the nurse implement for the client in labor who has been diagnosed with preeclampsia?

A) Place the client in the room closest to the nurse's station, even if it is a shared room.
B) Place the client in left lateral position when the client feels the urge to push.
C) Monitor client's fetus intermittently while client is in first stage of labor.
D) Encourage the client to be alone in the room without family in order to maintain a quiet environment.

nanny · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B, E

A client being discharged after having orthopedic surgery is at increased risk for pulmonary embolism. The nurse should instruct the client to continue with leg exercises and use compression stockings to reduce the risk of deep vein thrombosis formation. The client should be encouraged to ambulate, avoid placing pillows under the knees, and be well hydrated unless another physiological condition exists that would necessitate a fluid restriction.

Answer to Question 2

Answer: B

A laboring client with preeclampsia is at risk for the development of eclampsia with subsequent seizures. The nurse should place the client in left lateral position when the client feels the urge to push because this position improves circulation to the placenta and fetus. If possible, the nurse should place the client in a private room to promote a non-stimulating environment. However, the client should always have support with her, not be alone during labor. The nurse will monitor the client's fetus continuously during labor.