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Which interventions should be included in discharge teaching for a client who has had a total hip replacement? (SELECT ALL THAT APPLY)

Explain the importance of increasing activity gradually.

Have the client demonstrate use of assistive devices.

Discuss use of abductor pillow between thighs when turning in bed.

Tell the client to ambulate with open-toed house shoes.

Instruct the client not to take medication prior to ambulating

Answer and Explanation

Correct Answer : A,B,C

A. Gradually increasing activity helps in recovery and prevents complications like blood clots.

B. Having the client demonstrate the use of assistive devices ensures proper use and safety during ambulation.

C. Using an abductor pillow helps maintain hip alignment and prevents dislocation while turning in bed.

D. Open-toed house shoes are not recommended as they do not provide adequate support or protection.

E. It is important for the client to manage pain appropriately, including taking medication before activities such as walking.

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Correct Answer is ["A","E"]

Explanation

A. Side-lying on the unaffected side with pillows between the legs can maintain proper hip alignment and prevent dislocation, which is critical after a hip replacement.

B. Side-lying on the affected side could cause risk of hip dislocation and is not recommended.

C. The "on hands and knees" position should be avoided as it may place strain on the hip joint and cause dislocation.

D. "Client on top" is typically not recommended as it can lead to excessive flexion or rotation of the hip, which could lead to dislocation.

E. Lying supine can also be a safe position if the client avoids bending the hip past 90 degrees, which could cause dislocation.

A. Dangle the leg so the leg does not get swollen. B. Apply a ACE bandage to the ankle. C. Stay off the ankle for 2 to 3 days. D. Apply compression to the ankle. E. Apply a cold pack to the ankle.

Correct Answer is ["B","D","E"]

Explanation

A. Danging the leg is not advisable as it may increase swelling. Elevation is more beneficial for reducing swelling.

B. An ACE bandage helps stabilize the ankle and reduce swelling.

C. The client should stay off the ankle for several days, but it’s important to resume gentle movement and weight-bearing once swelling and pain allow to promote healing and prevent stiffness.

D. Compression also reduces swelling and provides support to the injured area.

E. Applying a cold pack reduces inflammation and pain during the acute phase of a sprain.

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Which interventions should be included in discharge teaching for a client who has had a total hip replacement? (SELECT ALL THAT APPLY)

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