Following a right total hip arthroplasty via a posterior approach, an older adult requires assistance with activities of daily living, elimination, and positioning. To ensure safety and promote comfort during the recovery period, which of the following actions should be incorporated into the client's daily care routine? Select all that apply.
- Place an abduction wedge between the client's legs before repositioning them in bedCevap
- Ensure a raised toilet seat is installed before the client uses the bathroom for bowel eliminationCevap
- Position the client on their non-operative side with pillows supporting the affected extremityCevap
- DAssist the client onto a standard bedpan by having them flex both knees and elevate their hips
- EEncourage the client to bend forward beyond a 90-degree angle when seated to comfortably reach the meal tray
- FReassure the family that the client's sudden onset of nighttime confusion is an expected age-related change
Cevap
The correct actions include using an abduction wedge during turning, ensuring a raised toilet seat is installed, and positioning the client on the non-operative side with pillow support.
The correct interventions strictly adhere to posterior hip precautions, which are essential to prevent joint dislocation. These include preventing hip adduction by using an abduction wedge when turning, preventing hip flexion greater than 90 degrees by utilizing a raised toilet seat, and keeping the operative leg in neutral alignment by supporting it with pillows when the client lies on their unaffected side.
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Total Hip Arthroplasty (Posterior Approach) Basic Care and Positioning Precautions