The nurse is caring for a patient who underwent a total hip replacement yesterday. What should the nurse do to prevent dislocation of the new prosthesis?
A) Keep the affected leg in a position of adduction.
B) Have the patient reposition himself independently.
C) Protect the affected leg from internal rotation.
D) Keep the hip flexed by placing pillows under the patient's knee.
Ans: C
Feedback:
Abduction of the hip helps to prevent dislocation of a new hip joint. Rotation and adduction should be avoided. While the hip may be flexed slightly, it shouldn't exceed 90 degrees and maintenance of flexion isn't necessary. The patient may not be capable of safe independent repositioning at this early stage of recovery.
You might also like to view...
A pregnant woman in her first trimester is admitted to the CCU after being in a motor vehicle crash. She was in the back seat on the side of the car that was hit. She was wearing a shoulder and lap seat belt and there was not a back-seat airbag
She is complaining of lower abdominal discomfort and has some lower abdominal bruising. Which assessment finding requires immediate follow-up? A) Lower abdominal discomfort B) Red blood cells slightly low C) Sinus tachycardia at 130 bpm D) Alert and oriented ?3
For a child under age 2, which of these measurements should the nurse include in the child's assessment data?
a. height, weight, and chest circumference b. length, weight, and circumferences of head, chest, and abdomen c. length and weight only d. circumferences of head, chest, and abdomen only
A female client has just undergone circumcision. The nurse closely monitors the client for which of the following?
A) Dysmenorrhea B) Hemorrhage C) Urinary tract infection D) Incontinence
A nursing instructor is demonstrating how to perform a heel stick on a newborn. To obtain an accurate capillary hematocrit reading, what does the nursing instructor tell the student do?
1. Rub the heel vigorously with an isopropyl alcohol swab prior to obtaining blood. 2. Use a previous puncture site. 3. Cool the heel prior to obtaining blood. 4. Use a sterile needle and aspirate.