A practical nurse (PN) is caring for a client who underwent a right total hip arthroplasty (posterior approach) 24 hours ago. Which of the following nursing actions should the PN implement to reduce the risk of postoperative complications? (Select all that apply.)
- Maintain the client's right leg in an abducted position using a designated wedge pillow.Answer
- Notify the registered nurse (RN) regarding a morning hemoglobin level of 7.9 g/dL.Answer
- Encourage the client to use the incentive spirometer 10 times every hour while awake.Answer
- DElevate the head of the bed to 90 degrees when assisting the client with breakfast.
- EDocument a new heart rate of 110 beats per minute and blood pressure of 92/58 mm Hg as expected findings.
- FAdminister prescribed prophylactic anticoagulants by verifying the client's identity using the room number.
Answer
The correct actions are maintaining the leg in an abducted position, notifying the RN of the critical hemoglobin level, and encouraging incentive spirometry.
Maintaining abduction prevents hip dislocation. Notifying the RN of a low hemoglobin level ensures timely intervention for potential hemorrhage. Incentive spirometry prevents respiratory complications like atelectasis.
Step-by-Step Solution
Key Concept
Postoperative Risk Reduction and Patient Safety