A nurse is reviewing a client's activities of daily living prior to discharge from total hip replacement. The nurse should identify what activity as posing a potential risk for hip dislocation?

Transferring from sitting to standing position

Straining during a bowel movement

Bending down to put socks on

Turning in bed with an abductor pillow in place

Crossing the legs or ankles

Answer and Explanation

The Correct Answer is C

Choice A reason: Transferring from sitting to standing position is not a high-risk activity for hip dislocation, as long as the client follows the proper precautions, such as keeping the operated leg slightly forward, using a chair with armrests, and avoiding twisting or pivoting the hip.

Choice B reason: Straining during a bowel movement is not a direct risk factor for hip dislocation, but it may cause constipation, which is a common problem after surgery. The nurse should educate the client on the importance of adequate hydration, fiber intake, and stool softeners to prevent constipation and reduce the need for straining.

Choice C reason: Bending down to put socks on is a risky activity for hip dislocation, as it violates the hip precautions of avoiding flexing the hip more than 90 degrees, adducting the hip, or internally rotating the hip. The nurse should instruct the client to use assistive devices, such as a sock aid or a long-handled reacher, to put on socks or shoes without bending the hip.

Choice D reason: Turning in bed with an abductor pillow in place is a safe activity for hip dislocation, as the abductor pillow helps to maintain the alignment and stability of the hip joint. The nurse should teach the client to use the abductor pillow while in bed for the first few weeks after surgery, and to turn from side to side with the assistance of a caregiver.

Choice E reason: Crossing the legs or ankles is a dangerous activity for hip dislocation, as it causes the hip to move out of its normal position. The nurse should remind the client to keep the legs apart at all times, and to use a pillow or a wedge between the legs when lying on the side.

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Correct Answer is A

Explanation

Choice A reason: This statement indicates the need for further teaching, as it shows that the client does not understand the possible complication of postherpetic neuralgia, which is a chronic pain condition that can persist for months or years after the rash heals. The nurse should explain to the client that some people may experience this condition and that there are treatments available to manage the pain.

Choice B reason: This statement does not indicate the need for further teaching, as it shows that the client understands the importance of preventing the transmission of the virus to others, especially those who have not had chicken pox or the vaccine. The nurse should reinforce this behavior and remind the client to cover the rash with a dressing and avoid contact with pregnant women, newborns, and immunocompromised people.

Choice C reason: This statement does not indicate the need for further teaching, as it shows that the client knows the etiology of the infection. The nurse should confirm that the client is correct and explain that the virus remains dormant in the nerve cells after the initial infection and can reactivate later in life due to stress, aging, or other factors.

Choice D reason: This statement does not indicate the need for further teaching, as it shows that the client recognizes the prodromal symptom of the infection. The nurse should acknowledge that the client is correct and explain that the pain is caused by the inflammation of the nerve fibers where the virus resides. The nurse should also ask the client about the severity and frequency of the pain and provide appropriate interventions.

A. Corticosteroids B. Resting the affected extremity C. Applying ice D. Massage E. Compression dressings

Correct Answer is B

Explanation

Choice A reason: Corticosteroids are not a common treatment modality for contusions, strains, or sprains. They are anti-inflammatory drugs that may be used for chronic conditions such as arthritis, asthma, or allergies, but they have side effects such as weakening the immune system, increasing the risk of infection, and delaying wound healing.

Choice B reason: Resting the affected extremity is a common treatment modality for contusions, strains, or sprains. It helps to reduce pain, swelling, and inflammation, and to prevent further injury or damage to the tissues.

Choice C reason: Applying ice is a common treatment modality for contusions, strains, or sprains, but only for the first 24 to 48 hours after the injury. It helps to reduce pain, swelling, and inflammation by constricting the blood vessels and decreasing the blood flow to the injured area. After 48 hours, heat may be applied to increase the blood flow and promote healing.

Choice D reason: Massage is not a common treatment modality for contusions, strains, or sprains. It may be beneficial for some chronic musculoskeletal conditions, but it should be avoided for acute injuries as it may increase the pain, swelling, and inflammation by stimulating the blood flow and aggravating the damaged tissues.

Choice E reason: Compression dressings are a common treatment modality for contusions, strains, or sprains. They help to reduce pain, swelling, and inflammation by applying pressure to the injured area and limiting the movement of the tissues. They also provide support and stability to the affected extremity.

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A nurse is reviewing a client's activities of daily living prior to discharge from total hip replacement. The nurse should identify what activity as posing a potential risk for hip dislocation?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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