{"id":137220,"date":"2024-09-12T12:59:04","date_gmt":"2024-09-12T12:59:04","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=137220"},"modified":"2024-09-12T12:59:07","modified_gmt":"2024-09-12T12:59:07","slug":"a-nurse-is-caring-for-a-client-who-had-a-total-hip-arthroplasty-2","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/12\/a-nurse-is-caring-for-a-client-who-had-a-total-hip-arthroplasty-2\/","title":{"rendered":"A nurse is caring for a client who had a total hip arthroplasty."},"content":{"rendered":"\n<p>A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the nurse take to prevent hip dislocation?<\/p>\n\n\n\n<p>A.<br>Encourage the client to lean forward when attempting to stand.<\/p>\n\n\n\n<p>B.<br>Elevate the knees higher than the hips when sitting.<\/p>\n\n\n\n<p>C.<br>Remove the wedge device when turning.<\/p>\n\n\n\n<p>D.<br>Place two bed pillows between the legs when in bed.<\/p>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-1-color\">The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n<p>The correct answer is <strong>D. Place two bed pillows between the legs when in bed.<\/strong><\/p>\n\n\n\n<p><strong>Explanation:<\/strong><\/p>\n\n\n\n<p>Total hip arthroplasty (THA) is a surgical procedure where the hip joint is replaced with an artificial implant. After such surgery, the primary concern is to prevent complications such as hip dislocation, which can occur if the hip joint is subjected to movements that exceed its normal range.<\/p>\n\n\n\n<p><strong>Rationale for Option D:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Placing two bed pillows between the legs when in bed<\/strong> is a preventive measure for hip dislocation. This practice maintains proper alignment of the hips and prevents adduction (moving the leg toward the midline of the body) and internal rotation of the hip, which are movements that can lead to dislocation. The pillows act as a physical barrier to keep the legs in the correct position, reducing the risk of the hip joint dislocating.<\/li>\n<\/ul>\n\n\n\n<p><strong>Rationale Against Other Options:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Option A: Encourage the client to lean forward when attempting to stand.<\/strong> This action could actually increase the risk of hip dislocation. Leaning forward can cause the hip joint to move out of its proper alignment, especially if the hip is flexed beyond the recommended angle.<\/li>\n\n\n\n<li><strong>Option B: Elevate the knees higher than the hips when sitting.<\/strong> This position is not advised as it can put excessive stress on the new hip joint and lead to dislocation. The recommended position is to keep the hips at or above knee level to avoid excessive flexion.<\/li>\n\n\n\n<li><strong>Option C: Remove the wedge device when turning.<\/strong> The wedge device, often used to maintain proper hip alignment, should not be removed during turning. Removing it can increase the risk of dislocation by allowing the legs to move into potentially harmful positions.<\/li>\n<\/ul>\n\n\n\n<p>In summary, <strong>placing two bed pillows between the legs<\/strong> is the best option to prevent hip dislocation as it helps maintain proper alignment of the hip joint and reduces the risk of dislocation by limiting movement that could put stress on the joint.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the nurse take to prevent hip dislocation? A.Encourage the client to lean forward when attempting to stand. B.Elevate the knees higher than the hips when sitting. C.Remove the wedge device when turning. D.Place two bed pillows [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137220","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137220","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137220"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137220\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137220"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137220"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137220"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}