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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 B

Explanation

A. The CPM machine does not affect wound drainage directly.

B. The CPM machine helps reduce pain by promoting circulation and decreasing joint stiffness.

C. Physical therapy is still necessary alongside CPM usage.

D. The primary purpose is to maintain joint mobility, not directly strengthen the leg.

A. Side lying on the unaffected side. B. Lateral Sims position C. Reverse trendelenburg position D. Patient on the bottom

Correct Answer is A

Explanation

A. Side-lying on the unaffected side is the safest position for hip replacement patients to avoid dislocating the affected hip.

B. Lateral Sims position is not appropriate for this scenario.

C. Reverse Trendelenburg position is not related to hip replacement precautions.

D. The patient being on the bottom is not recommended for a hip replacement as it could cause stress on the joint.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has undergone a total knee replacement and is using a continuous passive motion machine (CPM). The client asks the nurse about the purpose of this therapy. The nurse's most appropriate response would be that "It

Correct Answer is B

Explanation

Post total joint replacement, the patient needs for the joint to heal prior to sexual activity. What position is best for the patient after a total joint replacement of the hip?

Correct Answer is A

Explanation

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