A nurse is helping a postoperative patient following a total hip arthroplasty into a supine position.

Which of the following actions is appropriate to prevent hip dislocation?

Place a wedge pillow between the legs.

Place a footboard on the bed.

Place a sandbag to the lateral calf.

Place a trochanter roll against the thigh.

Answer and Explanation

The Correct Answer is A

After a total hip arthroplasty, it is important to prevent hip dislocation. One way to do this is to place a wedge pillow between the legs. This helps to keep the hip in a stable position and prevents the hip from moving too much, which could lead to dislocation.

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Correct Answer is B

Explanation

Choice A rationale
Attaching the chest tube system to the foot of the bed is not recommended. This position could potentially cause the system to tip over or become disconnected, which could lead to complications such as pneumothorax or hemothorax.
Choice B rationale
The chest tube system should be placed below the level of the patient’s chest. This allows for gravity-assisted drainage of air and fluid from the thoracic cavity, which is crucial for the patient’s recovery. The system works on a water seal that prevents air or fluid from entering the pleural space. Placing the system below the chest level ensures that the water seal is maintained, preventing backflow of fluid or air into the pleural space.
Choice C rationale
Placing the system along the side of the patient’s knee is not appropriate. This position does not facilitate effective drainage of air and fluid from the thoracic cavity. It could also lead to discomfort and potential dislodgement of the system.
Choice D rationale
Placing the system at the level of the patient’s clavicle is not recommended. This position is too high and could disrupt the water seal, leading to ineffective drainage and potential complications.

A. “It will increase your energy while your body is recovering from the anemia.”. B. “It will stimulate your body to produce more of its own red blood cells.”. C. “It works like a blood transfusion to give you extra red blood cells.”. D. “It will inhibit the protein that is attacking your blood cells.”. .

Correct Answer is B

Explanation

Choice A rationale
While erythropoietin (Epogen) can help improve symptoms of anemia, such as fatigue, it does not directly increase energy levels.
Choice B rationale
Erythropoietin (Epogen) stimulates the body to produce more of its own red blood cells. This is its primary function and the reason it is used in the treatment of anemia.
Choice C rationale
Erythropoietin (Epogen) does not work like a blood transfusion. While both can increase the number of red blood cells, erythropoietin stimulates the body to produce more of its own red blood cells, while a blood transfusion involves adding red blood cells from a donor.
Choice D rationale
Erythropoietin (Epogen) does not inhibit proteins that attack blood cells. It works by stimulating the production of more red blood cells.

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A nurse is helping a postoperative patient following a total hip arthroplasty into a supine position. Which of the following actions is appropriate to prevent hip dislocation?

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A nurse is helping a postoperative patient following a total hip arthroplasty into a supine position.

Which of the following actions is appropriate to prevent hip dislocation?