When positioning a patient with a hip replacement, which strategy is crucial to prevent dislocation?
Use of a wedge pillow for abduction
Encourage sitting cross-legged
Avoid crossing the legs
Place in high Fowler's position
The Correct Answer is C
A. Using a wedge pillow for abduction can help maintain proper hip alignment, but it is supportive rather than the primary preventive measure.
B. Sitting cross-legged places the hip in adduction and internal rotation, which significantly increases the risk of dislocation and should be avoided.
C. Avoiding crossing the legs is crucial after a hip replacement because it prevents adduction of the hip joint, which is a major factor in prosthetic dislocation. Nurses should also reinforce other positioning precautions such as limiting hip flexion beyond 90 degrees and using proper supports.
D. Placing the patient in high Fowler’s position may aid in comfort or breathing but does not directly prevent hip dislocation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Providing handoff report at the client’s bedside allows for accurate, comprehensive communication and promotes patient safety. It also facilitates bedside verification of the client’s identity, review of medications or equipment, and the opportunity for the client to participate in their care.
B. Reporting in the nurse’s lounge may compromise confidentiality and prevent accurate verification of client information.
C. Reporting outside the client’s room may risk breaches of privacy if others can overhear the discussion, and the nurse cannot visually verify the client’s status.
D. A conference area is appropriate for general discussions or educational purposes, but bedside handoff ensures accurate, patient-centered communication and safety.
Correct Answer is A
Explanation
A. The length of time spent washing hands is the most important factor in effective hand hygiene. Proper technique with adequate duration (at least 20 seconds with soap and water or until hand rub dries) ensures removal of pathogens and reduces the risk of infection transmission.
B. While the type of soap or hand rub matters, standard non-antibacterial soap is generally sufficient if proper technique and time are used; the duration and thoroughness are more critical.
C. Using antibacterial soap is not required for routine hand hygiene and does not significantly improve effectiveness over regular soap with proper technique.
D. Water temperature does not significantly impact the removal of pathogens; it mainly affects comfort. Effective hand hygiene relies on mechanical friction and adequate washing time, not water temperature.
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