A nurse is providing morning care for a client who had a right total hip arthroplasty (posterior approach) 48 hours ago. The client needs assistance with bathing, dressing, and using the restroom. Which interventions should be included to ensure proper joint positioning and client comfort? Select all that apply.
- Secure a foam abduction pillow between the lower extremities during rest periods.Cevap
- BAdjust the bedrest to a full upright sitting angle during meal consumption.
- Utilize a long-handled reacher to help the client don lower-body clothing.Cevap
- DTurn the client onto the right hip to reduce skin breakdown risk on the posterior torso.
- Ensure a raised commode chair is placed over the standard toilet.Cevap
- FProp the right foot to allow inward rotation of the leg while supine.
Cevap
The correct interventions are securing a foam abduction pillow, utilizing a long-handled reacher, and ensuring a raised commode chair is used.
Proper basic care for a posterior total hip arthroplasty involves preventing the three primary mechanisms of dislocation: hip flexion greater than 90 degrees, leg adduction (crossing the midline), and internal rotation. Securing a foam abduction pillow prevents adduction during rest. Utilizing a long-handled reacher allows the client to dress without bending forward, keeping flexion below 90 degrees. Ensuring a raised commode chair is used prevents the hips from dropping below the knees, which also avoids excessive flexion during elimination.
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Basic care and mobility for a client following a total hip arthroplasty (posterior approach) requires strict adherence to positional precautions (avoiding flexion > 90 degrees, adduction, and internal rotation) to prevent joint dislocation.
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