A client is recovering in the orthopedic unit after undergoing a right total hip arthroplasty via a posterior approach. The client requires a fracture bedpan for elimination. Which technique should the practical nurse use to place the bedpan safely?
- Turn the client onto the unaffected left side while maintaining an abduction pillow between the legs, position the pan, and carefully roll the client back.Cevap
- BElevate the head of the bed to 90 degrees and instruct the client to lean forward while sliding the pan underneath the buttocks.
- CDirect the client to flex both knees firmly and press their heels into the mattress to lift the pelvis off the bed.
- DRoll the client onto the right operative side with both legs kept completely straight and together to wedge the pan into place.
Cevap
The nurse should place an abduction pillow between the client's legs, turn the client onto the unaffected left side, position the fracture pan, and roll the client back onto it.
Turning the client onto the unoperated (left) side while keeping an abduction pillow between the legs ensures that the right hip remains in a neutral, abducted position. This safely allows the nurse to position the fracture pan without causing adduction, internal rotation, or extreme flexion, which are all strictly contraindicated following a posterior hip replacement.
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Postoperative Positioning and Joint Precautions