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Zorluk: OrtaBasic Care and Comfort

A client is resting in bed on the first postoperative day following a right total knee arthroplasty. The licensed practical nurse is adjusting the client's bed to promote rest and prevent joint complications. Which positioning technique is most appropriate for the affected extremity?

  1. Supporting the lower leg with a pillow placed lengthwise under the calf and ankle.Cevap
  2. B
    Placing a soft, rolled towel directly underneath the operative knee to reduce joint tension.
  3. C
    Maintaining both legs in an abducted stance using an abduction wedge cushion.
  4. D
    Elevating the knee gatch on the bed frame to keep the joint in a flexed and relaxed state.

Cevap

The most appropriate positioning technique is supporting the lower leg with a pillow placed lengthwise under the calf and ankle.
The correct positioning for a client following a total knee replacement is to keep the knee straight and fully extended. Supporting the distal leg (calf and ankle) achieves elevation to reduce postoperative swelling without bending the surgical joint.

Adım Adım Çözüm

1
Identify the surgical procedure performed.
The client had a total knee arthroplasty (TKA).
Postoperative positioning requirements vary significantly based on the specific joint replaced and the mechanics of the new prosthesis.
2
Determine the primary risk factors associated with this specific surgery.
A major risk following a TKA is the development of a flexion contracture, which is an inability to fully straighten the knee.
Preventing contractures is essential for the client to regain full mobility and a normal, steady gait.
3
Select the positioning method that prevents complications while promoting comfort.
The extremity must be kept extended (straight) while resting in bed.
Elevating the distal portion of the leg supports venous return to decrease edema while allowing gravity to naturally extend and straighten the knee joint.

Anahtar Kavram

Basic Care and Comfort: Postoperative Proper Body Alignment
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Konular

Basic Care and Comfort

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