You are the circulating nurse caring for a 78-year-old patient who is scheduled for a total hip replacement. Which of the factors should you consider during the preparation of the patient in the operating room?
A) The patient should be placed in Trendelenburg position.
B) The patient must be firmly restrained at all times.
C) Pressure points should be assessed and well padded.
D) The preoperative shave should be done by the circulating nurse.
Ans: C
Feedback: The vascular supply should not be obstructed by an awkward position or undue pressure on a body part. During surgical procedures, the patient is at risk for impairment of skin integrity due to a stationary position and immobility. An elderly patient is at an increased risk of injury and impaired skin integrity. Options A, B, and D are incorrect. A Trendelenburg position is not indicated for this patient. Once anesthetized for a total hip replacement, the patient cannot move. A preoperative shave is not performed; excess hair is removed by means of a clipper.
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