Author Question: The nurse working in the orthopedic clinic knows that a client with which factor has an absolute ... (Read 42 times)

D2AR0N · **on:** Jun 25, 2018

The nurse working in the orthopedic clinic knows that a client with which factor has an absolute contraindication for having a total joint replacement?

a. Needs multiple dental fillings
b. Over age 85
c. Severe osteoporosis
d. Urinary tract infection

Question 2

An older client has returned to the surgical unit after a total hip replacement. The client is confused and restless. What intervention by the nurse is most important to prevent injury?

a. Administer mild sedation.
b. Keep all four siderails up.
c. Restrain the client's hands.
d. Use an abduction pillow.

aliotak · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Osteoporosis is a contraindication to joint replacement because the bones have a high risk of shattering as the new prosthesis is implanted. The client who needs fillings should have them done prior to the surgery. Age greater than 85 is not an absolute contraindication. A urinary tract infection can be treated prior to surgery.

Answer to Question 2

ANS: D
Older clients often have trouble metabolizing anesthetics and pain medication, leading to confusion or restlessness postoperatively. To prevent the hip from dislocating, the nurse should use an abduction pillow since the client cannot follow directions at this time. Sedation may worsen the client's mental status and should be avoided. Using all four siderails may be considered a restraint. Hand restraints are not necessary in this situation.