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Zorluk: KolayBasic Care and Comfort

A practical nurse is providing morning care for a client who is recovering from a right total hip arthroplasty performed one day ago. Which of the following basic care and comfort measures are appropriate for this client? (Select all that apply)

  1. Use an abduction wedge or pillow between the client's legs while resting in bed.Cevap
  2. B
    Position the client sitting straight up at a 90-degree angle in bed for meals.
  3. Provide a raised toilet seat or an elevated bedside commode when assisting with bowel elimination.Cevap
  4. Assist the client with washing their upper body while maintaining the legs in a neutral alignment.Cevap
  5. E
    Turn the client completely onto the operative right side to wash their back.

Cevap

The correct actions include using an abduction wedge between the legs, providing a raised toilet seat for elimination, and maintaining neutral leg alignment during hygiene.
Following a total hip arthroplasty, safe basic care requires maintaining the hip in abduction and avoiding flexion greater than 90 degrees. Interventions such as using an abduction wedge, providing an elevated toilet seat, and keeping legs in neutral alignment during bathing ensure proper hygiene and elimination while actively preventing joint dislocation.

Adım Adım Çözüm

1
Identify the primary safety risks associated with a total hip arthroplasty.
The main risk during basic care is hip dislocation, which is prevented by avoiding leg adduction and severe hip flexion.
Understanding specific joint precautions is necessary to provide safe comfort care and hygiene.
2
Evaluate each basic care measure against the required hip precautions.
Using an abduction wedge, a raised toilet seat, and maintaining neutral alignment all comply with safety guidelines. Sitting at 90 degrees and turning on the operative side violate these guidelines.
Nursing actions must promote daily comfort and cleanliness without compromising the surgical repair.

Anahtar Kavram

Total Hip Arthroplasty Positioning and Comfort Care
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Konular

Basic Care and Comfort

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