What nursing intervention should the nurse prioritize to prevent the complication of hip displacement in a client who has suffered a hip fracture?

Encourage internal and external rotation of the affected leg

Maintain prone positioning at all times

Administer analgesics as required

Place a pillow between the client's legs when turning

Answer and Explanation

The Correct Answer is D

Rationale:
A. Encouraging internal and external rotation of the affected leg increases the risk of dislocating the hip and should be avoided post-fracture or post-surgery.
B. Prone positioning is rarely used and can increase discomfort or stress on the hip joint, potentially worsening outcomes.
C. While administering analgesics is important for comfort, it does not directly prevent hip displacement.
D. Placing a pillow between the client’s legs when turning helps maintain proper hip alignment and prevents adduction, which can lead to hip dislocation. This is a key nursing intervention to prevent complications after a hip fracture.

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Correct Answer is B

Explanation

Rationale:
A. Using assistive devices like a sock puller is appropriate and helps the client maintain hip precautions while performing activities of daily living.
B. Using a low toilet seat increases the risk of hip dislocation by causing excessive hip flexion. The client should use a raised toilet seat to avoid bending the hip more than 90 degrees. This statement indicates a need for further teaching.
C. Keeping a pillow between the legs, especially when sleeping, helps prevent hip adduction and dislocation.
D. Avoiding leg crossing is an important hip precaution to maintain proper alignment and prevent dislocation.

A. Check the client's pain level B. Assess for bowel sounds and ask the client if she has passed any flatus C. Put the client on a clear liquid diet D. Administer an antiemetic

Correct Answer is B

Explanation

Rationale:
A. While pain assessment is important, nausea and vomiting post-hysterectomy may indicate gastrointestinal issues that need immediate evaluation.
B. Assessing bowel sounds and asking about flatus helps determine if the gastrointestinal tract is functioning properly, which is critical before advancing diet or administering medications. This should be the first action.
C. Changing the diet to clear liquids may be appropriate but only after assessing GI status.
D. Administering an antiemetic can help symptoms but should follow assessment to rule out underlying issues such as ileus or obstruction.

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What nursing intervention should the nurse prioritize to prevent the complication of hip displacement in a client who has suffered a hip fracture?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has undergone a total hip replacement. The nurse reviews health education with the patient before discharge. Which of the client's statements would indicate to the nurse that the client requires further teaching?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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