A nurse is collecting data from a client who has been taking medroxyprogesterone for 6 months. Which of the following statements by the client should the nurse identify as the priority to report?

A) You should avoid exercising for the next 6 weeks:
This statement is not accurate. The client is encouraged to gradually increase activity and participate in physical therapy as prescribed to improve mobility and strength following a total hip arthroplasty. While some rest and limited activity may be necessary immediately after surgery, complete avoidance of exercise for six weeks is generally not advised unless there are complications. Physical therapy exercises are often a key component in the recovery process after hip replacement surgery.

B) You should avoid lying on your right side:
This recommendation is incorrect unless specifically contraindicated due to complications. After a right total hip arthroplasty, the client can typically lie on either side once they are comfortable, unless instructed otherwise by the healthcare provider. It is important to follow the surgical instructions regarding positioning, especially avoiding positions that might place stress on the new joint

C) You should avoid putting a pillow between your legs when in bed:
This statement is incorrect. After a total hip arthroplasty, placing a pillow between the legs when lying on either side is recommended to maintain proper alignment of the hip joint and prevent dislocation. The pillow helps keep the legs slightly apart, preventing the hip from rotating inward, which can put the new joint at risk for dislocation.

D) You should avoid crossing your legs formonths:
This is correct. Following a total hip arthroplasty, it is essential to avoid crossing the legs, especially for the first several months. Crossing the legs can lead to hip dislocation or improper alignment of the joint. The nurse should reinforce the importance of avoiding crossing the legs both while sitting and lying down to ensure proper healing and to avoid complications such as dislocation of the new hip joint.

A) "I should position the car seat's retainer clip at the level of my baby's belly button.": This statement is incorrect. The retainer clip of the car seat should be positioned at the level of the baby's armpits, not the belly button. Proper placement of the retainer clip ensures the safety harness fits securely across the baby's chest, reducing the risk of injury during a crash.

B) "I should keep my baby rear-facing in the car seat until she is 2 years old.": This statement is correct and aligns with current guidelines from organizations such as the American Academy of Pediatrics (AAP). Infants and toddlers should remain in a rear-facing car seat until they are at least 2 years old or until they reach the maximum height or weight limit allowed by the car seat manufacturer for rear-facing use. Rear-facing is the safest position for infants and provides the best protection for their developing head, neck, and spine.

C) "I should enable the airbag when my baby is in the front seat of the car.": This statement is incorrect. Infants and young children should never ride in the front seat of a car with an active airbag, as airbags can cause serious injury or death in the event of a collision. Children should always be placed in the back seat, ideally in a rear-facing car seat, to minimize risk.

D) "I should place my baby in the car seat at a 90-degree angle.": This statement is incorrect. A car seat should be installed at a slight recline to ensure that the baby's airway remains open and to prevent their head from falling forward. A 45-degree angle is typically recommended for newborns, although this can vary based on the specific car seat model and the baby's size.