A nurse is planning care for a client who is 8 hours post-operative following a right total hip arthroplasty utilizing a posterior approach. Which of the following nursing interventions should the nurse implement to reduce the client's risk for postoperative complications? Select all that apply.
- Place an abduction wedge between the client's legs while the client is resting in bed.Cevap
- BElevate the head of the bed to 90 degrees when the client is eating meals.
- Assess the pedal pulses, capillary refill, and sensation of the right lower extremity.Cevap
- DDelegate the evaluation of the surgical dressing for active bleeding to the unlicensed assistive personnel (UAP).
- Apply bilateral sequential compression devices (SCDs) as prescribed.Cevap
- FPlace a pillow directly under the client's right knee to alleviate joint tension.
Cevap
The correct interventions are placing an abduction wedge between the client's legs, assessing the neurovascular status of the right lower extremity, and applying bilateral sequential compression devices.
Following a posterior approach total hip arthroplasty, the client is at high risk for joint dislocation, deep vein thrombosis (DVT), and neurovascular compromise. Nursing interventions to reduce these risks include using an abduction wedge to prevent hip adduction, applying sequential compression devices to promote venous return, and frequently performing targeted neurovascular assessments to detect early signs of impaired tissue perfusion or nerve damage.
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Postoperative Risk Reduction: Total Hip Arthroplasty