A client with rheumatoid arthritis (RA) is recovering from hip replacement surgery. What postoperative care should the nurse plan for this client?
1. Placing the affected side in a flexed position
2. Providing pillows to maintain adduction
3. Keeping the client in bed for 4 days postoperatively
4. Monitoring for shortening of the affected leg
Answer: 4
1. After hip surgery, flexion of over 90 degrees is prevented.
2. The hip is maintained in abduction, not adduction, which could dislocate the joint.
3. The client is encouraged to begin getting out of bed in 24-48 hours.
4. The nurse should monitor for shortening of the affected leg and report to the physician if found.
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