A client who underwent a left total knee replacement yesterday requires assistance with morning care and positioning. Which actions by the practical nurse demonstrate correct understanding of postoperative comfort and safety measures? Select all that apply.
- Place a rolled towel under the left lower leg to keep the heel completely suspended off the mattress.Cevap
- BPosition a supportive pillow directly beneath the left knee joint to relieve incisional discomfort.
- Instruct the client to perform active ankle dorsiflexion and plantar flexion exercises hourly while awake.Cevap
- DSecure an abduction wedge between the client's legs prior to repositioning them in bed.
- Apply a cold therapy pack to the surgical site for 20-minute intervals as prescribed.Cevap
Cevap
The correct actions are placing a towel under the lower leg to suspend the heel, instructing the client to perform active ankle exercises, and applying a cold therapy pack to the surgical site.
Appropriate postoperative care for a total knee replacement focuses on preventing venous stasis, protecting the skin, minimizing edema, and ensuring the knee heals in an extended position. Suspending the heel prevents pressure injuries while maintaining knee extension. Ankle exercises stimulate blood flow, reducing the risk of a deep vein thrombosis. Cold therapy causes local vasoconstriction, which decreases swelling and provides non-pharmacological pain relief.
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Postoperative Positioning and Basic Care for Total Knee Arthroplasty