Following hip replacement surgery, which patient statement would the nurse evaluate as indicating additional teaching is necessary?
1. "I will sit down in a chair to reach items below waist height."
2. "I will use a shower chair and raised toilet seat when performing hygiene."
3. "My husband has removed our loose carpets and has cleared out our walkway.".
4. "My daughter bought me a 'reacher' to access things on the floor."
1
Rationale 1: Sitting in a chair and trying to reach below waist level places the hip at a flexion angle of more than 90 degrees. Dislocation is possible.
Rationale 2: A shower chair and raised toilet seat keep the hips at the correct angle to prevent displacement.
Rationale 3: Loose carpets and objects in walkways may cause falls and further injure the patient and/or the hip replacement itself.
Rationale 4: Using a reacher will prevent bending or stooping that might cause hip displacement.
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