A nurse is providing morning hygiene and nutritional support for an older adult client who underwent a right total hip arthroplasty via a posterior approach on the previous day. Which of the following actions should the nurse take?
- Place an abduction pillow between the client's legs prior to turning them onto their unaffected side for a linen change.Cevap
- BElevate the head of the bed to a 90-degree angle to ensure the client is comfortable while eating breakfast.
- CAssign an unlicensed assistive personnel (UAP) to evaluate the client's skin integrity over the sacrum during the bed bath.
- DAttribute the client's sudden onset of confusion and restlessness to normal, age-related cognitive decline and proceed with care.
Cevap
The nurse should maintain hip precautions by using an abduction pillow between the legs when turning the client.
Maintaining hip precautions is essential to prevent dislocation of the new prosthesis. For a posterior approach, the hip must not be flexed beyond 90 degrees, and adduction or internal rotation must be avoided. Using an abduction pillow between the legs while turning the client prevents the hip from adducting across the midline during basic care activities such as linen changes.
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Anahtar Kavram
Postoperative positioning and safety in basic care