During morning rounds on the orthopedic unit, a clinical team coordinates the daily care for a client who is on their third day of recovery following a right total hip arthroplasty (posterior approach). Which intervention demonstrates correct adherence to post-operative safety and comfort guidelines?
- AAdjusting the bed to a 90-degree high-Fowler's position to allow the client to eat breakfast comfortably.
- BDirecting the unlicensed assistive personnel to complete the initial morning assessment of the right leg's neurovascular status.
- Securing an abduction pillow between the client's lower extremities before turning them onto their left side for a back massage.Cevap
- DEncouraging the client to relieve pressure on their heels by temporarily crossing their legs at the ankles.
Cevap
The correct intervention is securing an abduction pillow between the client's lower extremities before turning them onto their left side.
Following a posterior approach total hip arthroplasty, the client is at high risk for hip dislocation if the operative leg crosses the midline (adduction) or flexes excessively. Securing an abduction pillow between the legs prevents adduction and maintains proper anatomical alignment while the client is turned to the unoperated side for basic care measures, such as receiving a back massage or having linens changed.
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Post-Operative Positioning and Care for Total Hip Arthroplasty (Posterior Approach)