A nurse plans care for a client who has an external fixator on the lower leg. Which intervention would the nurse include in the plan of care to decrease the client’s risk for infection?

Choice A reason: Absence seizures involve brief episodes of staring into space, often with subtle blinking or lip smacking, lasting 5–20 seconds. Common in children, they impair attention, leading to poor school performance, as the brain’s electrical activity briefly disrupts consciousness without motor convulsions.
Choice B reason: Akinetic seizures involve sudden loss of muscle tone, causing falls or head drops, not staring spells. They do not typically affect school performance through inattention, as they are brief and motor-focused, not cognitive disruptions.
Choice C reason: Myoclonic seizures cause sudden, brief muscle jerks, often in the arms or legs, without loss of consciousness. They differ from staring spells and are less likely to directly impact school performance through inattention or cognitive lapses.
Choice D reason: Complex partial seizures involve altered consciousness with automatisms (e.g., lip smacking, picking at clothes), not just staring. They are less common in children and typically cause more

Choice A reason: Uncemented hip arthroplasty requires careful transfer to prevent dislocation of the new joint, which relies on bone ingrowth for stability. Adequate help (e.g., two staff members) ensures safe transfer, minimizing stress on the surgical site and reducing the risk of falls or prosthesis misalignment.
Choice B reason: Providing socks to “slide easier” increases the risk of slipping during transfer, which could lead to falls or hip dislocation. Non-slip footwear is preferred to ensure stability and safety during mobilization post-hip arthroplasty.
Choice C reason: Full weight bearing is typically restricted after uncemented hip arthroplasty to allow bone ingrowth into the prosthesis. Informing the patient that full weight bearing is allowed is incorrect and could lead to implant failure or dislocation.
Choice D reason: Using a footstool to elevate the leg during transfer is inappropriate, as it may cause hip flexion beyond 90 degrees, increasing the risk of dislocation. Elevation is used in specific positions but not during initial transfers.