After teaching a client who is diagnosed with new-onset status epilepticus and prescribed phenytoin (Dilantin), the nurse assesses the client’s understanding. Which statement by the client indicates a correct understanding of the teaching?

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.

Choice A reason: Removing traction during repositioning disrupts the continuous pull needed to maintain bone alignment in fractures. This could lead to misalignment, delayed healing, or increased pain, as traction counteracts muscle spasms and stabilizes the fracture site.
Choice B reason: While skin assessment during a bed bath is important to detect pressure injuries, it is a general nursing responsibility, not specific to traction care. Traction-specific teaching focuses on maintaining the system’s integrity, such as ensuring proper weight function, over general hygiene tasks.
Choice C reason: Using alcohol wipes for pin care in skeletal traction is inappropriate, as it may not adequately prevent infection. Pin sites require sterile technique with solutions like chlorhexidine to minimize osteomyelitis risk, making this an incorrect teaching point.
Choice D reason: In traction, weights must hang freely to maintain consistent force for bone alignment and fracture stabilization. Obstructed weights reduce traction effectiveness, potentially causing misalignment, delayed healing, or increased pain, making this a critical teaching point for safe traction care.