A nurse plans care for a client who is recovering from open reduction and internal fixation (ORIF) surgery for a right hip fracture. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
a. Elevate heels off the bed with a pillow.
b. Ambulate the client on the first postoperative day.
c. Push the client's patient-controlled analgesia button.
d. Re-position the client every 2 hours.
e. Use pillows to encourage subluxation of the hip.
ANS: A, B, D
Postoperative care for a client who has ORIF of the hip includes elevating the client's heels off the bed and re-positioning every 2 hours to prevent pressure and skin breakdown. It also includes ambulating the client on the first postoperative day, and using pillows or an abduction pillow to prevent subluxation of the hip. The nurse should teach the client to use the patient-controlled analgesia pump, but the nurse should never push the button for the client.
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