A nurse is caring for a client who had a total hip arthroplasty.

Which of the following actions should the nurse take to prevent hip dislocation?

Place two-bed pillows between the legs when in bed.

Encourage the client to lean forward when attempting to stand.

Remove the wedge device when turning.

Elevate the knees higher than the hips when sitting.

Answer and Explanation

The Correct Answer is A

Place two-bed pillows between the legs when in bed.
To prevent hip dislocation after total hip arthroplasty, the nurse should place two-bed pillows between the client’s legs when in bed.
This helps maintain proper alignment and prevent the hip from dislocating.
Choice B is incorrect because leaning forward when attempting to stand can increase the risk of hip dislocation.
Choice C is incorrect because removing the wedge device when turning can increase the risk of hip dislocation.
Choice D is incorrect because elevating the knees higher than the hips when sitting can increase the risk of hip dislocation.

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Correct Answer is A

Explanation

Granulation tissue is new connective tissue and tiny blood vessels that form on the surfaces of a wound during the healing process.
The presence of dark red granulation tissue is a sign that the wound is healing.
B.Light yellow exudate: Light yellow exudate may indicate the presence of infection and is not a sign of healing.
C. Dry brown eschar: Dry brown eschar is dead tissue that needs to be removed for the wound to heal properly.
D.Wound tissue firm to palpation: Wound tissue firm to palpation is not a specific sign of healing.

A. Oral contraceptive use. B. Cirrhosis. C. Hypertension. D. NSAID use.

Correct Answer is A

Explanation

Oral contraceptive use is a risk factor for the development of DVTs.
Choice B is incorrect because cirrhosis is not a known risk factor for DVTs.
Choice C is incorrect because hypertension is not a known risk factor for DVTs.
Choice D is incorrect because NSAID use is not a known risk factor for DVTs.

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A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the nurse take to prevent hip dislocation?

Nursing Test Bank

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A nurse is caring for a client who had a total hip arthroplasty.

Which of the following actions should the nurse take to prevent hip dislocation?