A client has just returned home after a total hip arthroplasty. What should the home health nurse include in their teaching?

Comparing the current blood pressure reading to the preoperative value is the first step the nurse should take. This will help determine if the patient’s blood pressure has significantly dropped, which could indicate hypovolemia or shock.

Choice B rationale

Covering the patient with a warm blanket may be helpful if the patient is feeling cold or showing signs of hypothermia, but it would not address the underlying cause of the low blood pressure.

Choice C rationale

Increasing the IV flow rate might be necessary if the patient is hypovolemic, but this decision should be based on additional assessment data and physician orders.

Choice D rationale

Reassuring the patient is important, but it should not be the first action. The nurse needs to assess and address the cause of the low blood pressure.

Choice A rationale

Storing extra blankets in a box on the steps is not a safe practice for a client who has just returned home after a total hip arthroplasty. This could increase the risk of falls, which is a major concern after hip surgery.

Choice B rationale

Keeping pot handles turned towards the edge of the stove is not a safe practice. It increases the risk of spills and burns. Pot handles should always be turned towards the back of the stove to prevent accidents.

Choice C rationale

Placing electrical cords against the wall is a safe practice. It reduces the risk of tripping over the cords, which is especially important for a client who is recovering from a total hip arthroplasty.

Choice D rationale

Placing a throw rug next to the bathtub is not a safe practice. Throw rugs can easily slip and cause falls. A non-slip mat should be used instead.