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    Ati rn adult medical surgical 2023 proctored exam

    A nurse is caring for a client after total hip replacement surgery. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. Log roll the client onto the operative side: After hip replacement surgery, the client should avoid lying directly on the operative side to prevent dislocation of the new joint. The client should be log rolled onto the unaffected side instead, using proper body alignment. B. Keep client's affected heel on the bed: The heel of the affected leg should not be placed flat on the bed to prevent pressure ulcers and promote proper alignment. The nurse should ensure that the affected leg is elevated and properly supported. C. Use an elevated toilet seat: Using an elevated toilet seat is essential for a client after hip replacement surgery. It helps the client avoid excessive flexion of the hip joint, which can increase the risk of dislocation or complications in the immediate postoperative period. D. Perform internal and external rotation exercises of the hip: Internal and external rotation exercises should be avoided immediately after a total hip replacement as they can put the joint at risk for dislocation. The focus should be on maintaining proper alignment and performing safe range-of-motion exercises.

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