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 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.

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 is correct regarding postoperative positioning after total hip arthroplasty?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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