Which of the following statements by the patient is correct regarding postoperative positioning after total hip arthroplasty?

“I can bend my hip beyond 90 degrees as long as I feel comfortable."

“I should avoid turning onto my operative side to prevent hip dislocation."

“I don't need to use a pillow or abduction device between my legs when turning."

“I should cross my legs when sitting to keep my hip stable."

Answer and Explanation

The Correct Answer is B

A. “I can bend my hip beyond 90 degrees as long as I feel comfortable." Flexing the hip beyond 90 degrees increases the risk of hip dislocation.

B. “I should avoid turning onto my operative side to prevent hip dislocation." Lying on the operative side increases pressure on the hip joint and can lead to dislocation or delayed healing.

C. “I don't need to use a pillow or abduction device between my legs when turning." An abduction pillow or device is necessary to keep the legs apart and prevent hip adduction, which can lead to dislocation.

D. “I should cross my legs when sitting to keep my hip stable." Crossing the legs can cause internal rotation and hip dislocation.

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Correct Answer is A

Explanation

A. Stage I. A Stage I pressure ulcer is characterized by intact skin with non-blanchable erythema. The affected area may feel warmer or firmer than surrounding skin.

B. Stage II. A Stage II pressure ulcer involves partial-thickness skin loss, often presenting as a shallow open ulcer or intact/blistered skin. Since the skin is still intact in this scenario, it is not Stage II.

C. Stage III. A Stage III pressure ulcer involves full-thickness skin loss with visible subcutaneous tissue but no exposed bone, tendon, or muscle. This does not match the description of an intact but reddened area.

D. Stage IV. A Stage IV pressure ulcer involves full-thickness tissue loss with exposed bone, tendon, or muscle. This is much more severe than the described case.

A. Apply an ice pack to the casted leg. B. Perform a neurovascular assessment. C. Provide reassurance to the client and parents. D. Explain the discharge instructions to the client and parents.

Correct Answer is B

Explanation

A. Apply an ice pack to the casted leg: Ice packs help with swelling and pain but are not the priority over assessing for neurovascular compromise.

B. Perform a neurovascular assessment. The priority action is to assess circulation, sensation, and movement (CSM) to rule out compartment syndrome, which is a limb-threatening complication. Any signs of compromised blood flow require immediate intervention.

C. Provide reassurance to the client and parents. Providing reassurance is important for emotional support but does not take priority over ensuring proper blood flow and nerve function in the affected limb.

D. Explain the discharge instructions to the client and parents. Teaching is essential but should be done after confirming that the limb is not at risk for serious complications.

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Which of the following statements by the patient is correct regarding postoperative positioning after total hip arthroplasty?

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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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