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Soru

Zorluk: OrtaBasic Care and Comfort

While managing the care of a client recovering from a recent left total hip replacement (posterior approach), the nurse must implement specific positioning and safety measures. Which action by the nurse is correct?

  1. Maintain an abduction wedge between the lower extremities when turning the client onto their unaffected side.Cevap
  2. B
    Elevate the head of the bed to a full 90-degree angle during meal consumption to prevent aspiration.
  3. C
    Delegate the initial postoperative neurovascular assessment of the left foot to the unlicensed assistive personnel.
  4. D
    Inform the family that the client's sudden and severe postoperative confusion is a normal part of the aging process.

Cevap

The correct action is to maintain an abduction wedge between the lower extremities when turning the client onto their unaffected side.
For a client recovering from a posterior total hip arthroplasty, maintaining the affected leg in a neutral or slightly abducted position is critical to prevent joint dislocation. Using an abduction wedge or pillow between the lower extremities when turning the client onto their unaffected side ensures the affected hip does not cross the body's midline (adduction), thereby protecting the surgical site and maintaining joint stability.

Adım Adım Çözüm

1
Identify the surgical procedure and its specific anatomical approach.
The client underwent a left total hip arthroplasty utilizing a posterior approach.
The surgical approach dictates the specific biomechanical precautions required to prevent joint dislocation during the recovery period.
2
Recall the positioning and movement restrictions for a posterior hip arthroplasty.
Postoperative precautions include avoiding hip flexion greater than 90 degrees, avoiding internal rotation, and avoiding adduction of the affected leg across the midline.
These specific joint movements place severe stress on the posterior joint capsule, heavily risking prosthesis dislocation.
3
Evaluate the nursing actions in the options against these precautions and standard care guidelines.
Using an abduction wedge correctly prevents adduction during turning. Sitting the client at 90 degrees violates the flexion restriction. Delegating an initial assessment violates nursing scope of practice. Dismissing acute confusion as normal aging ignores potential physiological complications.
Applying safe care principles ensures evidence-based, complication-free postoperative recovery.

Anahtar Kavram

Postoperative positioning and basic care precautions for posterior approach total hip arthroplasty
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Konular

Basic Care and Comfort

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