{"id":142436,"date":"2024-09-22T05:27:05","date_gmt":"2024-09-22T05:27:05","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=142436"},"modified":"2024-09-22T05:27:07","modified_gmt":"2024-09-22T05:27:07","slug":"a-nurse-is-assisting-a-client-who-is-postoperative-following-a-total-hip-arthroplasty-into-a-supine-position","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/22\/a-nurse-is-assisting-a-client-who-is-postoperative-following-a-total-hip-arthroplasty-into-a-supine-position\/","title":{"rendered":"A nurse is assisting a client who is postoperative following a total hip arthroplasty into a supine position."},"content":{"rendered":"\n

A nurse is assisting a client who is postoperative following a total hip arthroplasty into a supine position. Which of the following actions is appropriate to prevent hip dislocation?<\/p>\n\n\n\n

A.
Place a trochanter roll against the thigh.<\/p>\n\n\n\n

B.
Place a sandbag to the lateral calf.<\/p>\n\n\n\n

C.
Place a wedge pillow between the legs.<\/p>\n\n\n\n

D.
Place a footboard on the bed.<\/p>\n\n\n\n

The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n

The correct answer is C. Place a wedge pillow between the legs<\/strong>.<\/p>\n\n\n\n

A wedge pillow is essential in the postoperative care of a client who has undergone a total hip arthroplasty (THA) to prevent hip dislocation. Hip dislocation is one of the most common complications following this surgery, and it typically results from the hip joint being placed in positions that strain the prosthesis, such as excessive adduction (bringing the legs together) or internal rotation.<\/p>\n\n\n\n

Here\u2019s a detailed explanation of why the wedge pillow is used:<\/p>\n\n\n\n

Purpose of the Wedge Pillow:<\/h3>\n\n\n\n

The wedge pillow, also known as an abduction pillow, is placed between the client\u2019s legs to maintain proper alignment of the hips. This device keeps the legs abducted (apart) and prevents them from crossing over the midline, which could cause the hip joint to dislocate, especially during the critical early postoperative period when the joint is healing and the muscles are weak.<\/p>\n\n\n\n

Hip Dislocation Prevention:<\/h3>\n\n\n\n

During hip arthroplasty, the head of the femur is replaced with a prosthesis, and it is crucial to ensure the artificial joint stays in place. Movements such as crossing the legs or internally rotating the hip can cause the prosthetic hip to pop out of the socket (dislocate). The wedge pillow keeps the hips aligned in a neutral, safe position and prevents movements that could increase the risk of dislocation.<\/p>\n\n\n\n

Incorrect Options:<\/h3>\n\n\n\n
    \n
  • A. Trochanter Roll Against the Thigh:<\/strong> A trochanter roll helps prevent external rotation of the hip, but it doesn\u2019t address the primary concern of preventing adduction and potential dislocation.<\/li>\n\n\n\n
  • B. Sandbag to the Lateral Calf:<\/strong> This would not prevent adduction or internal rotation, which are the primary movements that could cause dislocation.<\/li>\n\n\n\n
  • D. Footboard on the Bed:<\/strong> While this can assist in preventing foot drop, it does not specifically prevent hip dislocation.<\/li>\n<\/ul>\n\n\n\n

    In summary, placing a wedge pillow between the client\u2019s legs postoperatively is a critical measure in maintaining the alignment of the hip joint and reducing the risk of dislocation.<\/p>\n","protected":false},"excerpt":{"rendered":"

    A nurse is assisting a client who is postoperative following a total hip arthroplasty into a supine position. Which of the following actions is appropriate to prevent hip dislocation? A.Place a trochanter roll against the thigh. B.Place a sandbag to the lateral calf. C.Place a wedge pillow between the legs. D.Place a footboard on the […]<\/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-142436","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142436","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=142436"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142436\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=142436"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=142436"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=142436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}