The nurse is assisting with patients in an orthopedic unit. Which is an important factor to remember when caring for patients after a total hip replacement?
Place three pillows between the legs, one distal and three proximal.
Side-lying position is permitted with a pillow between the legs.
Sitting in a bedside chair is permitted if the legs are elevated.
A triangular pillow is used between the legs to avoid adduction.
The Correct Answer is D
A. Place three pillows between the legs, one distal and three proximal: This is incorrect and excessive. Using three pillows in this manner can lead to improper leg positioning and discomfort.
B. Side-lying position is permitted with a pillow between the legs: While side-lying is allowed, the pillow is to prevent adduction of the legs, not just any pillow placement. It must specifically keep the hips aligned.
C. Sitting in a bedside chair is permitted if the legs are elevated: While sitting is often encouraged, elevating the legs too high can risk hip dislocation or improper alignment. The patient should sit in a way that maintains proper hip angles and alignment.
D. A triangular pillow is used between the legs to avoid adduction: A triangular or abduction pillow helps keep the legs in an appropriate position, preventing the legs from crossing and reducing the risk of hip dislocation post-surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Use a picture board.: A picture board can help patients with expressive aphasia communicate their needs and thoughts visually, bypassing their difficulty with verbal expression.
B. Provide pencil and paper.: Providing pencil and paper allows the patient to write down words or draw pictures, which can facilitate communication.
C. Obtain an interpreter.: An interpreter is not necessary unless the patient has a language barrier in addition to aphasia. Aphasia is a language disorder resulting from brain damage, not a problem with understanding different languages.
D. Speak slowly and clearly.: Speaking slowly and clearly can help the patient understand what is being said, which is important as they may have difficulty processing spoken language.
E. Speak loudly.: Speaking loudly is unnecessary and can be counterproductive. The issue with expressive aphasia is not related to hearing but to the ability to express thoughts through speech.
Correct Answer is C
Explanation
A. Incontinence (bowel or urinary): While incontinence may occur in stroke patients, it is not the primary concern for someone with hemianopsia, a visual impairment.
B. Impaired skin integrity: Although this is important, particularly for immobile patients, it is not directly related to hemianopsia.
C. Disturbed sensory perception: Hemianopsia results in the loss of half the field of vision in one or both eyes, leading to disturbed sensory perception. This is a priority because it directly affects the patient's ability to navigate their environment safely.
D. Imbalanced nutrition: Although important, this is not the immediate concern related to hemianopsia.
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