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

Keep an abduction pillow between the client's legs.

Elevate the client's affected leg on a pillow when in bed.

Position the client's knees slightly higher than the hips when up in a chair.

Raise the head of the client's bed to a high-Fowler's position.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Keeping an abduction pillow between the client's legs is a preventive measure to avoid dislocation of the hip prosthesis. This positioning helps maintain the correct alignment of the hip joint, reducing the risk of dislocation. Abduction pillows are commonly used postoperatively after total hip arthroplasty to support proper hip positioning while the patient is in bed.

Choice B rationale:

Elevating the client's affected leg on a pillow when in bed is not recommended after total hip arthroplasty. This position could lead to hip adduction, increasing the risk of prosthesis dislocation. Maintaining abduction (spreading the legs apart) is the key to preventing dislocation, and elevation should be avoided to maintain proper alignment.

Choice C rationale:

Positioning the client's knees slightly higher than the hips when up in a chair is not an appropriate preventive measure for prosthesis dislocation. Proper alignment is crucial, and the client should avoid sitting in low chairs or on low surfaces that could cause the hips to be lower than the knees, potentially leading to dislocation.

Choice D rationale:

Raising the head of the client's bed to a high-Fowler's position is unrelated to preventing prosthesis dislocation. Fowler's position refers to elevating the head of the bed to assist with breathing and facilitate patient comfort. While this position might be suitable for certain respiratory conditions, it has no direct impact on the stability of a hip prosthesis.

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Correct Answer is C

Explanation

Choice A rationale:

Iron is essential for healthy blood, but it is not specifically associated with preventing neural tube defects. Iron supplementation is crucial during pregnancy to prevent iron-deficiency anemia.

Choice B rationale:

Calcium is essential for bone health, but it is not directly related to preventing neural tube defects. Adequate calcium intake is vital, especially during adolescence and pregnancy, to support bone development and maintenance.

Choice C rationale:

"Folate." This is the correct answer. Folate, also known as vitamin B9, is crucial for preventing neural tube defects. Adequate folate intake, especially before and during early pregnancy, can significantly reduce the risk of neural tube defects in newborns. The normal recommended dietary allowance (RDA) for folate is 400 micrograms per day for adults.

Choice D rationale:

Zinc is a mineral important for immune function and wound healing but is not specifically associated with preventing neural tube defects. Adequate zinc intake is essential for overall health, but it is not a primary nutrient targeted for neural tube defect prevention.

A. Expect to have a rapid pulse rate for the first few weeks. B. Return in two weeks for a follow-up MRI. C. Resume tub baths and swimming after 24 hr. D. Wear loose-fitting clothing.

Correct Answer is D

Explanation

Choice A rationale:

Expecting to have a rapid pulse rate for the first few weeks is not accurate information for a client with a newly implanted implantable cardioverter-defibrillator (ICD). After the ICD placement, the client's heart rate should stabilize within normal ranges. A consistently rapid pulse rate might indicate an issue with the device or the client's cardiovascular system, necessitating further evaluation.

Choice B rationale:

Returning in two weeks for a follow-up MRI is not advisable immediately after ICD placement. MRI (Magnetic Resonance Imaging) is contraindicated for individuals with ICDs due to the magnetic fields, which can interfere with the functioning of the device. The timing and necessity of any future MRI should be carefully planned and discussed with the healthcare provider in charge of the client's care.

Choice C rationale:

Resuming tub baths and swimming after 24 hours is not recommended after ICD placement. Submerging the ICD site in water, especially in the initial healing phase, can increase the risk of infection. Clients with newly implanted ICDs are usually advised to avoid submerging the device site in water for a specified period, as recommended by their healthcare provider.

Choice D rationale:

Wearing loose-fitting clothing is important advice for clients with newly implanted ICDs. Tight clothing, especially around the site of the device, can cause irritation and discomfort. Loose-fitting clothing ensures proper airflow to the site, reducing the risk of irritation and allowing for optimal healing. It is essential to provide this information to the client to promote comfort and prevent complications related to the ICD placement.

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

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