Ati lpn med surg level 2 test 5 proctored exam
A nurse is caring for a client who is 3 days post operative from a right hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should examine the client for which of the following manifestations of dislocation of the hip prosthesis?
Explanation & Rationale
A. Bulging in the area over the surgical incision: This could indicate a hematoma or fluid accumulation, not necessarily dislocation. B. Sensation of warmth over the surgical site: Mild warmth is expected postoperatively. Excess warmth may indicate infection, not dislocation. C. Shortening of the right leg: Limb shortening and external rotation are classic signs of prosthetic hip dislocation. This is a surgical emergency. D. Pallor following elevation of the right leg: Pallor may suggest vascular compromise, but it's not a hallmark sign of prosthesis dislocation.
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