A practical nurse is providing morning care for a client who is recovering from a right total hip arthroplasty performed one day ago. Which of the following basic care and comfort measures are appropriate for this client? (Select all that apply)
- Use an abduction wedge or pillow between the client's legs while resting in bed.Answer
- BPosition the client sitting straight up at a 90-degree angle in bed for meals.
- Provide a raised toilet seat or an elevated bedside commode when assisting with bowel elimination.Answer
- Assist the client with washing their upper body while maintaining the legs in a neutral alignment.Answer
- ETurn the client completely onto the operative right side to wash their back.
Answer
The correct actions include using an abduction wedge between the legs, providing a raised toilet seat for elimination, and maintaining neutral leg alignment during hygiene.
Following a total hip arthroplasty, safe basic care requires maintaining the hip in abduction and avoiding flexion greater than 90 degrees. Interventions such as using an abduction wedge, providing an elevated toilet seat, and keeping legs in neutral alignment during bathing ensure proper hygiene and elimination while actively preventing joint dislocation.
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Key Concept
Total Hip Arthroplasty Positioning and Comfort Care