A practical nurse and an unlicensed assistive personnel (UAP) are preparing to reposition a client who is 24 hours postoperative following a right total hip arthroplasty (posterior approach). Arrange the following actions in the correct sequence to safely turn the client onto their left side.
- 1Verify that the client's pain is adequately controlled and adjust the bed to a safe working height.
- 2Place a foam abduction pillow or wedge securely between the client's legs.
- 3Instruct the client to cross their arms over their chest and gather the edges of the draw sheet.
- 4Log-roll the client as a single unit onto their left, unaffected side in one coordinated motion.
- 5Tuck pillows behind the client's back and ensure the right leg remains abducted and supported.
Cevap
The correct sequence is to first control pain and adjust the bed, then place the abduction pillow, prepare the client and draw sheet, log-roll onto the unaffected side, and finally support the new position with additional pillows.
Safe repositioning post-total hip arthroplasty requires meticulous joint protection. Pain management and caregiver ergonomics are the priority foundational steps. Most critically, the abduction wedge must be placed between the legs before any movement occurs to ensure the hip remains abducted. Preparing the draw sheet and arms follows joint stabilization. The client is then log-rolled as a single unit onto the unaffected side to maintain pelvic alignment, and finally, supportive pillows are placed to sustain the position and prevent internal rotation.
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Anahtar Kavram
Following a posterior total hip arthroplasty, the operative leg must be kept in abduction and neutral alignment to prevent dislocation, requiring an abduction pillow to be placed prior to log-rolling the client.