The nurse would recognize the need for additional teaching in a postoperative posterior hip replacement client when which of the following activities was observed. The client:
1. Used a regular-height toilet seat.
2. Used the abductor pillow while in bed.
3. Kept the affected leg and foot turned upright while in bed.
4. Kept the operative leg straight when getting out of bed, while using the arms to push up.
Used a regular-height toilet seat.
Rationale: The toilet seat height needs to be raised to prevent overextension of the hip joint; therefore, additional teaching is needed to prevent complications from the posterior hip replacement. An abductor pillow is required to keep the hip in proper alignment and to prevent it from popping out of place. An upright position will keep the leg and hip in proper alignment to prevent displacement; the leg is not turned inward for the same reason. Keeping the leg straight and using the arms will prevent displacement from twisting the hip when attempting to get out of bed.
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