A client is getting out of bed into the chair for the first time ...

[asd123]

A client is getting out of bed into the chair for the first time after an uncemented hip replacement. What action by the nurse is most important?
 
  a. Have adequate help to transfer the client.
  b. Provide socks so the client can slide easier.
  c. Tell the client full weight bearing is allowed.
  d. Use a footstool to elevate the client's leg.

Question 2

An older client is scheduled to have hip replacement in 2 months and has the following laboratory values: white blood cell count: 8900/mm3, red blood cell count: 3.2/mm3, hemoglobin: 9 g/dL, hematocrit: 32.
 
  What intervention by the nurse is most appropriate?
  a.
  Instruct the client to avoid large crowds.
  b.
  Prepare to administer epoetin alfa (Epogen).
  c.
  Teach the client about foods high in iron.
  d.
  Tell the client that all laboratory results are normal.

[Chocorrol77]

Answer to Question 1

ANS: A
The client with an uncemented hip will be on toe-touch only right after surgery. The nurse should ensure there is adequate help to transfer the client while preventing falls. Slippery socks will encourage a fall. Elevating the leg greater than 90 degrees is not allowed.

Answer to Question 2

ANS: B
This client is anemic, which needs correction prior to surgery. While eating iron-rich foods is helpful, to increase the client's red blood cells, hemoglobin, and hematocrit within 2 months, epoetin alfa is needed. This colony-stimulating factor will encourage the production of red cells. The client's white blood cell count is normal, so avoiding infection is not the priority.