An older adult client has been transferred to the medical-surgical unit following a left total hip arthroplasty via a posterior approach. The practical nurse is assisting with the client's initial positioning in bed. Which action should the nurse take to maintain correct body alignment and prevent joint dislocation?
- Secure an abduction pillow between the client's lower extremities before turning them.Answer
- BElevate the head of the bed to a high-Fowler's position to assist with eating and breathing.
- CRotate the client's left leg internally to decrease tension on the surgical incision.
- DPlace a large rolled pillow directly under the client's left knee to promote comfort.
Answer
Secure an abduction pillow between the client's lower extremities before turning them.
Following a posterior total hip arthroplasty, the client's hip must be kept in a neutral position with slight abduction to prevent the head of the femur from dislocating. An abduction pillow safely prevents adduction (crossing the legs past the midline) and maintains structural stability while the client is resting or being turned.
Step-by-Step Solution
Key Concept
Post-Operative Positioning for Total Hip Arthroplasty