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Zorluk: Çok zorBasic Care and Comfort

A nurse is teaching basic mobility techniques to an older adult client who is 2 days post-operative following a right total hip arthroplasty (posterior approach). The client is preparing to transfer from a standing position using a standard walker to a sitting position in an armchair. Which instruction should the nurse provide to ensure client safety and comfort?

  1. Extend your right leg forward, reach back to grasp the chair's armrests, and lower yourself using your left leg.Cevap
  2. B
    Back up until you feel the chair, keep both hands firmly on the walker, and bend both knees simultaneously to sit.
  3. C
    Step backward with your left leg, pivot your body on your right foot to align with the chair, and sit down.
  4. D
    Lean your torso forward over the walker to maintain your center of gravity while flexing your right hip to sit.

Cevap

The correct instruction is to extend the right leg forward, reach back to grasp the chair's armrests, and lower the body using the left leg.
The correct answer maintains the integrity of the total hip arthroplasty by keeping the operative right leg extended, which prevents dangerous hip flexion past 90 degrees. Additionally, teaching the client to reach back for the chair's armrests follows safe assistive device principles, preventing the walker from tipping over during the weight transfer.

Adım Adım Çözüm

1
Identify the surgical procedure and its specific precautions.
The client had a right total hip arthroplasty via a posterior approach. Precautions include avoiding hip flexion greater than 90 degrees, internal rotation, and adduction.
Post-operative positioning rules are dictated by the surgical approach to prevent joint dislocation.
2
Determine the correct body mechanics for a walker-to-chair transfer.
The client must back up to the chair, reach back for the armrests, and avoid using the walker to bear weight while lowering into the seat.
Standard walkers can tip backward if pulled upon during the downward transition to sitting.
3
Integrate the THA precautions with the transfer mechanics.
The client must extend the operative (right) leg forward while sitting.
Extending the leg ensures the angle between the torso and the thigh never becomes less than 90 degrees during the seating motion.

Anahtar Kavram

Basic Care and Comfort: Safe Client Transfers and Positioning Precautions
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Konular

Basic Care and Comfort

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