A nurse in a clinic is collecting data from a client who has cystitis. Which of the following findings should the nurse expect?

Choice A rationale
Positioning the lower extremities so that they are touching is incorrect because it can lead to adduction of the hip, which increases the risk of dislocation. After a total hip arthroplasty, it is important to maintain proper alignment of the hip joint to prevent dislocation. Keeping the legs apart with the use of an abduction pillow or wedge is recommended to maintain proper alignment and reduce the risk of complications.
Choice B rationale

Ensuring that the client’s heels are touching the bed is incorrect because it can lead to pressure ulcers. After a total hip arthroplasty, it is important to prevent pressure on the heels by using pillows or heel protectors to elevate the heels off the bed. This helps to reduce the risk of pressure ulcers and promotes better circulation to the lower extremities.
Choice C rationale
Instructing the client to avoid movement of the affected leg is incorrect because early mobilization is important for recovery. After a total hip arthroplasty, patients are encouraged to perform gentle exercises and mobilize as soon as possible to prevent complications such as deep vein thrombosis (DVT) and to promote healing. Immobilization can lead to stiffness, muscle atrophy, and other complications.
Choice D rationale
Preventing hip flexion of the affected extremity is correct because excessive hip flexion can increase the risk of dislocation. After a total hip arthroplasty, it is important to avoid positions that involve hip flexion greater than 90 degrees, such as sitting in low chairs or bending forward excessively. Maintaining proper hip precautions helps to reduce the risk of dislocation and promotes a safe recovery.

Choice A rationale
Osteoarthritis is not caused by inflammation that affects both joints and other body tissues. This description is more characteristic of rheumatoid arthritis, which is an autoimmune disease that causes systemic inflammation.
Choice B rationale
Osteoarthritis does not occur in phases with crystal deposits. This description is more characteristic of gout, which involves the deposition of urate crystals in joints and soft tissues.
Choice C rationale
Osteoarthritis is primarily due to the aging process and results in the disintegration of cartilage in a joint. This leads to pain, stiffness, and reduced joint function.
Choice D rationale
Osteoarthritis is not due to the loss of calcium in the bones. This description is more characteristic of osteoporosis, which is a condition that weakens bones and increases the risk of fractures.