Examkin

Soru

Zorluk: OrtaBasic Care and Comfort

During morning rounds on the orthopedic unit, a licensed practical nurse is assisting a client who recently underwent a left total hip arthroplasty. When performing hygiene and repositioning tasks, which action should the nurse take?

  1. Secure an abduction wedge between the client's lower extremities before turning.Cevap
  2. B
    Raise the head of the bed to a 90-degree angle to prepare the client for breakfast.
  3. C
    Ensure the client's left leg is positioned with the toes pointing slightly inward.
  4. D
    Administer the client's prescribed intravenous push analgesic prior to the bed bath.

Cevap

Secure an abduction wedge between the client's lower extremities before turning.
Following a total hip arthroplasty, the client is at a high risk for hip dislocation if the joint is adducted, internally rotated, or flexed beyond 90 degrees. Securing an abduction wedge or pillow between the client's legs prior to turning ensures that the legs remain apart (abducted), thereby maintaining proper anatomical alignment and protecting the surgical site during basic care routines.

Adım Adım Çözüm

1
Identify the client's surgical procedure and associated risks.
The client had a left total hip arthroplasty, which carries a high risk for joint dislocation if positioned improperly.
Different surgeries require specific postoperative precautions during basic care to prevent injury.
2
Determine the contraindicated movements for a total hip arthroplasty.
Movements to avoid include hip flexion greater than 90 degrees, adduction past the midline, and internal rotation of the affected extremity.
These specific movements place excessive stress on the surgical joint capsule and can pop the prosthesis out of place.
3
Evaluate the nursing actions in the options against these precautions.
Using an abduction wedge is the only action that aligns with safety protocols by actively preventing adduction.
Maintaining proper joint alignment is an essential component of basic care and repositioning.

Anahtar Kavram

Postoperative Positioning and Precautions for Total Hip Arthroplasty
Bu soruyu puanla

Konular

Basic Care and Comfort

Bu konudan daha fazla soru