A client undergoes a total hip replacement. Which statement made by the client would indicate to nurse Rose that the client requires further teaching?
a. “I’ll need to keep several pillows between my legs at night.”
b. “I need to remember not to cross my legs. It’s such a habit.”
c. “The occupational therapist is showing me how to use a sock puller to help me get dressed.”
d. “I don’t know if I’ll be able to get off that low toilet seat at home by myself.”
Answer D.
To prevent hip dislocation after a total hip replacement, the client must avoid bending the hips beyond 90 degrees. Assistive devices, such as a raised toilet seat, should be used to prevent severe hip flexion. Using an abduction pillow or placing several pillows between the legs reduces the risk of hip dislocation by preventing adduction and internal rotation of the legs.
a. “I’ll need to keep several pillows between my legs at night.”
b. “I need to remember not to cross my legs. It’s such a habit.”
c. “The occupational therapist is showing me how to use a sock puller to help me get dressed.”
d. “I don’t know if I’ll be able to get off that low toilet seat at home by myself.”
Answer D.
To prevent hip dislocation after a total hip replacement, the client must avoid bending the hips beyond 90 degrees. Assistive devices, such as a raised toilet seat, should be used to prevent severe hip flexion. Using an abduction pillow or placing several pillows between the legs reduces the risk of hip dislocation by preventing adduction and internal rotation of the legs.
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Psychosocial Integrity