A nurse is caring for a client who is 3 days post-operative from a right hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should examine the client for which of the following manifestations of dislocation of the hip prosthesis.
Pallor following elevation of the right leg.
Bulging in the area over the surgical incision.
Sensation of warmth over the surgical site.
Shortening of the right leg.
The Correct Answer is D
A. Pallor following elevation of the right leg. Pallor is not a typical sign of hip dislocation.
B. Bulging in the area over the surgical incision. This could indicate a hematoma or infection, not specifically dislocation.
C. Sensation of warmth over the surgical site. Warmth can indicate infection or inflammation, but is not a primary sign of dislocation.
D. Shortening of the right leg. Correct. Shortening of the leg is a classic sign of hip dislocation post-arthroplasty.
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Related Questions
Correct Answer is D
Explanation
A. The ropes attach securely to the pin. Secure attachment of the ropes is important but not usually a problem that needs correction.
B. The ropes are in the center of the wheel grooves. Proper placement of the ropes in the wheel grooves is important for smooth movement, but this is not a common problem needing correction.
C. The weights are equal on each side. Ensuring equal weights is important but not typically a problem needing correction as it is usually set up correctly initially.
D. The weights rest against the foot of the bed. Correct. Weights should not rest against the foot of the bed; they must hang freely to maintain proper traction and alignment.
Correct Answer is D
Explanation
A. Fat embolism syndrome: Fat embolism syndrome can occur after fractures, particularly long bone fractures, but it typically presents with symptoms such as respiratory distress, petechiae, and neurological symptoms rather than severe pain and tingling in the affected extremity.
B. Osteomyelitis. Osteomyelitis, an infection of the bone, is characterized by localized pain, swelling, and fever but does not usually present immediately with severe pain and tingling following a fracture.
C. Pulmonary embolism. Pulmonary embolism is a blockage in one of the pulmonary arteries in the lungs and presents with chest pain, shortness of breath, and possibly coughing up blood, not localized extremity pain and tingling.
D. Acute compartment syndrome. Acute compartment syndrome is a serious condition that involves increased pressure within a muscle compartment. It can lead to severe pain, tingling, and decreased blood flow, which is consistent with the symptoms described.
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