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Zorluk: OrtaBasic Care and Comfort

A nurse is planning care for an older adult client who is 1 day postoperative following a right total hip arthroplasty (posterior approach). The client has a history of mild cognitive impairment and is currently experiencing intermittent confusion. Which of the following interventions should the nurse include in the client's care plan to promote basic care and comfort? Select all that apply.

  1. Place an abduction wedge between the client's legs while resting in bed.Cevap
  2. Ensure the client's heels are elevated completely off the mattress.Cevap
  3. Assist the client with using a fracture bedpan for elimination if they are unable to safely transfer to a commode.Cevap
  4. D
    Delegate the daily assessment of the surgical incision and surrounding skin to unlicensed assistive personnel (UAP).
  5. E
    Request a prescription for bilateral wrist restraints to prevent the client from picking at the surgical dressing during confused periods.
  6. F
    Position the client in a high Fowler's position at a 90-degree angle during meals to prevent aspiration.

Cevap

The correct interventions are placing an abduction wedge between the legs, elevating the heels off the mattress, and using a fracture bedpan for elimination.
After a posterior total hip arthroplasty, basic care and comfort must align strictly with postoperative safety precautions. Maintaining leg abduction with a wedge prevents dislocation of the new hip prosthesis. Elevating the heels prevents pressure injuries, which is a key component of basic care for clients with limited mobility. Using a fracture bedpan reduces the need for the client to lift their hips excessively or bend past safe angles when they cannot safely transfer out of bed.

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1
Identify the client's surgical procedure and the associated postoperative risks.
The client had a right total hip arthroplasty via a posterior approach. This carries a high risk for hip dislocation if the joint is flexed beyond 90 degrees, adducted across the midline, or internally rotated.
Understanding surgical precautions is essential before planning basic care, positioning, and mobility interventions.
2
Evaluate each basic care intervention for safety and appropriateness in this specific clinical context.
Using abduction wedges, elevating heels, and utilizing a fracture bedpan all support comfort and prevent complications (pressure injuries, joint stress) without violating hip precautions.
Basic care interventions must align directly with the client's specific mobility restrictions and skin integrity needs.
3
Identify and eliminate contraindicated or unsafe interventions.
A high Fowler's position violates hip flexion precautions. Assessing incisions is outside a UAP's scope of practice. Wrist restraints skip necessary, less-restrictive safety alternatives.
Recognizing professional scope of practice, post-procedure contraindications, and restraint protocols prevents client harm.

Anahtar Kavram

Postoperative Basic Care, Comfort, and Positioning for Total Hip Arthroplasty
Tahmini Süre:2m 0s
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Konular

Basic Care and Comfort

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