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NCLEX-RN · Question #585

A 78-year-old female client has a total hip arthroplasty. Her nurse should know that which of the following is contraindicated?

The correct answer is B. Encourage her to cross and uncross her legs. (A) Exercising the unaffected extremities will prevent contractures and emboli. (B) Crossing and uncrossing the affected leg after surgery can dislocate the joint. (C) Neurological and circulatory status of the affected leg has been compromised by surgery. Hourly checks are…

Physiological Integrity: Reduction of Risk Potential

Question

A 78-year-old female client has a total hip arthroplasty. Her nurse should know that which of the following is contraindicated?

Options

  • AEncourage exercises in the unaffected extremities.
  • BEncourage her to cross and uncross her legs.
  • CCheck neurological and circulatory status of the affected leg hourly.
  • DPlace a trochanter roll along the upper thigh of the affected leg.

How the community answered

(49 responses)
  • A
    2% (1)
  • B
    90% (44)
  • C
    2% (1)
  • D
    6% (3)

Explanation

(A) Exercising the unaffected extremities will prevent contractures and emboli. (B) Crossing and uncrossing the affected leg after surgery can dislocate the joint. (C) Neurological and circulatory status of the affected leg has been compromised by surgery. Hourly checks are needed to monitor the status of the leg. (D) A trochanter roll will prevent the upper thigh from rolling outward, increasing the chances of

Topics

#hip arthroplasty#hip dislocation prevention#postoperative care#orthopedic nursing

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