A nurse is contributing to the plan of care for a client following a total hip arthroplasty. Which of the following interventions should the nurse recommend?

A. Maintain hip abduction when turning the client: After a total hip arthroplasty, maintaining hip abduction prevents dislocation of the prosthesis. Positioning devices such as abduction pillows help keep the hip in a safe alignment during movement and turning. B. Turn the client every 4 hr for 48 hr while on bed rest: Turning every 4 hours may be insufficient to prevent pressure injuries, and prolonged strict bed rest is generally discouraged. Early mobilization as tolerated is preferred to reduce complications such as DVT and pneumonia. C. Have the client use an incentive spirometer every 4 hr: Incentive spirometry is important for preventing postoperative pulmonary complications, but it is not specific to hip replacement care. The priority is protecting the surgical site and joint integrity. D. Instruct the client to bend from the hip when retrieving items from the floor: Bending at the hip increases the risk of hip dislocation. Clients should be taught to use a reacher or bend at the knees while keeping the hip in neutral alignment.