The nurse assesses a client after a total hip arthroplasty. The client’s surgical leg is visibly shorter than the other one and the client reports extreme pain. While a co-worker calls the surgeon, what action by the nurse is appropriate?

Choice A reason: A visibly shorter leg and extreme pain post-hip arthroplasty suggest possible hip dislocation, a serious complication. Assessing neurovascular status (pulse, sensation, movement, color, temperature) in both legs is critical to detect compromised blood flow or nerve damage, which could lead to tissue ischemia or permanent injury if not addressed promptly.
Choice B reason: Elevating the leg and applying ice may reduce swelling but does not address the potential dislocation indicated by leg shortening and pain. These interventions could delay critical assessment and management of neurovascular compromise, potentially worsening outcomes in a suspected dislocation scenario.
Choice C reason: Administering pain medication may alleviate discomfort but does not address the underlying cause, such as a dislocated hip prosthesis. Pain relief is secondary to ensuring neurovascular integrity and confirming the surgical leg’s alignment, which are critical to prevent complications like tissue necrosis.
Choice D reason: Attempting to place the leg in abduction without confirming the cause of shortening and pain risks further damage, especially if the hip is dislocated. Manipulation could exacerbate neurovascular compromise or prosthesis misalignment, leading to prolonged recovery or additional surgical intervention.