Which of the following should be included in patient teaching after hip replacement surgery?

"Be sure to bend at the hip, not the knee, to pick up items."

internally rotating your leg is okay, but do not externally rotate it."

If we need so help you roll in bed, we will roll you towards the operative side.

You should keep your knees apart using a wedge or pillow.

Answer and Explanation

The Correct Answer is D

A) "Be sure to bend at the hip, not the knee, to pick up items."
After hip replacement surgery, patients are instructed to avoid bending at the hip beyond 90 degrees, as this can dislocate the newly replaced hip. The correct guidance would be to avoid bending at the hip and instead bend at the knee when picking up items, ensuring the hip joint stays in a safe position.

B) "Internally rotating your leg is okay, but do not externally rotate it."
Internal rotation of the hip joint should also be avoided post-surgery, as it can increase the risk of dislocation. The correct teaching is to prevent both internal and external rotation of the hip to ensure the joint remains stable. Patients should be instructed to avoid twisting motions that can compromise the surgical repair.

C) "If we need to help you roll in bed, we will roll you towards the operative side."
This can place undue pressure on the newly replaced hip, potentially leading to dislocation or injury. The operative side should be kept stable and protected, so it is safer to roll the patient onto the non-operative side if necessary.

D) "You should keep your knees apart using a wedge or pillow."
It is essential to keep the knees apart, typically using a wedge or pillow between the legs. This prevents the hip from adducting (moving toward the midline) and reducing the risk of dislocation. Maintaining this position ensures the hip remains in a safe, stable alignment during the healing process.

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Correct Answer is C

Explanation

A. Having the patient splint their incision site when coughing and deep breathing:
While splinting the incision site can help alleviate pain and prevent strain on the surgical wound during coughing and deep breathing, it is not a primary intervention for preventing surgical site infection. Infection prevention is more directly related to sterile technique, antibiotic prophylaxis, and maintaining a clean environment around the wound. Splinting can support postoperative recovery, but it does not directly prevent infection.

B. Offering around the clock pain medication in the immediate post-operative phase:
Providing pain medication is important for patient comfort and to facilitate early mobilization after surgery. However, pain management does not directly prevent surgical site infections. The focus for infection prevention lies in maintaining sterility, administering antibiotics as prescribed, and appropriate wound care rather than pain control alone.

C. Administering prescribed pre-operative antibiotics within 30-60 minutes of surgery:
The administration of prophylactic antibiotics before surgery, typically within 30-60 minutes of the incision, is a primary intervention for preventing surgical site infections (SSIs). This timing ensures that the antibiotics are at therapeutic levels in the bloodstream when the surgical procedure begins, reducing the risk of introducing bacteria into the surgical site. This is a well-established guideline for infection prevention in surgical settings.

D. Performing the first dressing change on a new surgical site in the postoperative setting:
The first dressing change should generally be done by a healthcare professional using sterile technique. However, the timing and handling of the first dressing change are more related to wound care practices rather than a primary strategy for preventing infection. Infection prevention primarily involves proper antibiotic prophylaxis, maintaining a sterile field, and managing the surgical site during the early post-operative period. The first dressing change, while important for wound healing, is not the most immediate or primary intervention for preventing surgical site infection.

A. "If I develop a fever, I will tell my doctor at the next scheduled office appointment." B. I will avoid hugging my family, so that I don't give them the virus." C. "I can still have my favorite sushi occasionally as long as I wear a mask to the restaurant." D. I will need to take the medications even when the virus is well-controlled."

Correct Answer is D

Explanation

A) "If I develop a fever, I will tell my doctor at the next scheduled office appointment."
. Clients with HIV should not wait for their next scheduled appointment to report any signs of infection or complications. Fever, as well as other symptoms such as cough, fatigue, or skin rashes, may indicate a potential infection or opportunistic infection that requires immediate medical attention. Early intervention can prevent complications. Therefore, the nurse should emphasize the importance of reporting any symptoms of illness immediately to the healthcare provider.

B) "I will avoid hugging my family, so that I don't give them the virus."
. HIV is not transmitted through casual contact such as hugging, shaking hands, or sharing meals. HIV is transmitted through blood, semen, vaginal fluids, breast milk, and through needle sharing or sexual contact. It is important for patients with HIV to understand that they can continue to engage in normal daily activities and maintain close relationships with family members and friends without the fear of spreading HIV through non-bodily fluid contact.

C) "I can still have my favorite sushi occasionally as long as I wear a mask to the restaurant."
. The need to wear a mask to prevent HIV transmission is a misconception. HIV is not transmitted through food, air, or casual social interactions. The concern regarding eating sushi comes from the risk of foodborne illness, particularly for individuals with compromised immune systems, such as those with HIV. Raw or undercooked food (like sushi) can expose individuals to bacterial, viral, or parasitic infections, which are more harmful to immunocompromised clients. Safe food handling practices and avoiding raw or undercooked foods are more important than wearing a mask.

D) "I will need to take the medications even when the virus is well-controlled."
. Adherence to antiretroviral therapy (ART) is essential for people living with HIV, even when the virus is well-controlled and their viral load is undetectable. Stopping or interrupting ART can lead to drug resistance and a return of the virus. Consistent medication use is the key to preventing the progression of HIV, reducing viral transmission, and maintaining long-term health. The patient should be educated about the importance of taking ART as prescribed for life, even when feeling well, to keep the virus suppressed and prevent complications

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Which of the following should be included in patient teaching after hip replacement surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse identifies which of the following as one of the primary nursing interventions for preventing surgical site infection?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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