Which of the following statements by the patient indicates correct understanding of postoperative hip precautions?

“I should turn my toes inward when lying down.”

“I can bend my hip more than 90 degrees when sitting in a chair.”

“I should cross my legs when sitting to improve circulation."

“I should use an abduction pillow between my legs while in bed."

Answer and Explanation

The Correct Answer is D

A. “I should turn my toes inward when lying down.” Internal rotation of the hip increases the risk of dislocation and should be avoided.

B. “I can bend my hip more than 90 degrees when sitting in a chair.” Flexing the hip beyond 90 degrees increases dislocation risk and should be avoided.

C. “I should cross my legs when sitting to improve circulation." Crossing the legs can lead to hip adduction and dislocation. Instead, legs should remain apart.

D. “I should use an abduction pillow between my legs while in bed.” An abduction pillow keeps the legs in proper alignment and prevents dislocation by maintaining slight abduction.

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Correct Answer is D

Explanation

A. Medicate the client for pain: Pain management is essential after surgery; however, it is not the most critical action. Unrelieved pain could indicate a complication, such as compartment syndrome, which requires further assessment.

B. Direct the client to perform exercises of the ankle and toes: Performing ankle and toe exercises helps prevent complications such as venous thromboembolism (VTE) and promotes circulation, but it is not the priority over assessing for complications.

C. Instruct the client on the use of crutches: Teaching the client how to use crutches is important for mobility, but this is not the most immediate postoperative concern.

D. Perform neurovascular checks of the extremities: This is the most important intervention because neurovascular compromise (e.g., compartment syndrome) can occur after orthopedic surgery. Checking circulation, movement, and sensation (CMS) is critical for early detection of complications.

A. "Skeletal traction has less risk for infection than skin traction." B. "Skeletal traction is more appropriate than skin traction for reducing a fracture. C. "Clients with skin traction have more discomfort than those with skeletal traction D. "Skin traction is primarily used for long-term stabilization of fractures and is the preferred method for reducing bone fractures before surgery."

Correct Answer is B

Explanation

A. "Skeletal traction has less risk for infection than skin traction." Skeletal traction involves pins and has a higher infection risk than skin traction.

B. "Skeletal traction is more appropriate than skin traction for reducing a fracture." Skeletal traction provides stronger and more stable force, making it more appropriate for fracture reduction.

C. "Clients with skin traction have more discomfort than those with skeletal traction." Skeletal traction is usually more painful due to pins inserted into the bone.

D. "Skin traction is primarily used for long-term stabilization of fractures." Skin traction is typically used short-term before surgery.

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Which of the following statements by the patient indicates correct understanding of postoperative hip precautions?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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