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Zorluk: KolayBasic Care and Comfort

An older adult client is admitted to a long-term care facility after undergoing a total right hip replacement (posterior approach). When turning and repositioning the client in bed, which action should the practical nurse take?

  1. Keep an abductor wedge or pillow between the client's legs.Cevap
  2. B
    Instruct the client to cross their ankles while lying in a supine position.
  3. C
    Elevate the head of the bed to a full 90-degree angle during meals.
  4. D
    Place the client in a side-lying position with the operative leg dropping forward.

Cevap

Keep an abductor wedge or pillow between the client's legs.
Following a posterior total hip replacement, the client's legs must remain abducted to prevent the hip prosthesis from dislocating. Using an abductor wedge or pillow between the legs maintains proper alignment, prevents adduction (crossing the midline), and limits internal rotation while the client is resting or being turned in bed.

Adım Adım Çözüm

1
Identify the surgical procedure and its specific postoperative risks.
The client had a total hip replacement (posterior approach), meaning the primary risk is prosthesis dislocation from adduction, internal rotation, or severe flexion.
Understanding prescribed surgical precautions is necessary to determine safe basic care and positioning.
2
Select the positioning strategy that prevents dislocation.
An abductor pillow keeps the legs separated (abducted) and prevents the operative leg from crossing the midline of the body.
Maintaining proper anatomical alignment ensures joint stability during the healing process.

Anahtar Kavram

Postoperative Positioning and Hip Precautions
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Konular

Basic Care and Comfort

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