A nurse is planning care for a client who is 2 days postoperative following a right total … — NCLEX-RN

A nurse is planning care for a client who is $2$ days postoperative following a right total hip arthroplasty (posterior approach). Which positioning intervention should the nurse implement to prevent surgical complications?

A
Elevate the head of the client's bed to $90^\circ$ when assisting with meals.
Maintain an abductor pillow between the client's legs while the client is supine.Cevap
C
Instruct the client to internally rotate the right leg when resting in bed.
D
Encourage the client to bend forward at the waist when sitting to put on socks.

Cevap

Maintain an abductor pillow between the client's legs while the client is supine.

Following a total hip arthroplasty with a posterior approach, the client is at high risk for prosthetic dislocation if the hip is placed in adduction, internal rotation, or flexion of

90^\circ

or greater. Maintaining an abductor pillow between the legs while supine or turning effectively prevents adduction and internal rotation, thereby protecting the surgical joint.

Adım Adım Çözüm

Identify the surgical procedure and approach.

The client had a right total hip arthroplasty using a posterior approach.

The surgical approach determines the specific movement restrictions needed to prevent joint dislocation.

Recall the standard hip precautions for a posterior approach.

Precautions include avoiding hip flexion of

90^\circ

or greater, avoiding adduction across the midline, and avoiding internal rotation.

These positions place extreme stress on the posterior capsule and can cause the new femoral head to dislocate posteriorly.

Evaluate the given positioning interventions against the precautions.

Using an abductor pillow prevents adduction and internal rotation, which correctly aligns with the precautions.

The other options involve hip flexion of

90^\circ

or more (elevating the head of the bed, bending to put on socks) or internal rotation, all of which are strictly contraindicated.

Anahtar Kavram

Total Hip Arthroplasty (Posterior Approach) Precautions

Soru

Cevap

Adım Adım Çözüm

Anahtar Kavram

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