The nurse would recognize the need for additional teaching in a patient after posterior hip replacement when observing which activity?
1. The patient uses an abductor pillow while in bed.
2. The patient uses a regular-height toilet seat.
3. The patient keeps the affected leg and foot turned upright while in bed.
4. The patient keeps the operative leg straight when getting out of bed and uses the arms to push up out of bed.
2
Rationale 1: An abductor pillow is required to keep the hip in proper alignment and prevent it from popping out of place.
Rationale 2: The toilet seat height needs to be raised to prevent overextension of the hip joint. Additional teaching is needed to prevent complications from the posterior hip replacement.
Rationale 3: An upright position keeps the leg and hip in proper alignment to prevent displacement; the leg is not turned inward for the same reason.
Rationale 4: Keeping the leg straight and using the arms prevent displacement from twisting the hip when getting out of bed.
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