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    Med Surg Proctored Exam - Care Hope College Nur110

    A nurse is discharging a patient after a total hip replacement. What statement by the patient indicates good potential for self-management.

    Explanation & Rationale

    Choice A rationale Following a total hip replacement (posterior approach), bending the hip more than 90 degrees, which is required to pick something up from the floor, increases the risk of hip dislocation. This is a violation of the hip precautions and indicates a need for further teaching about activity restrictions. Choice B rationale Therapeutic exercises are essential after total hip replacement to strengthen the surrounding muscles, improve range of motion, and prevent complications like deep vein thrombosis. Stopping exercises prematurely compromises long-term recovery and function, indicating poor understanding of the care plan. Choice C rationale Sitting with the legs crossed involves internal rotation and adduction of the operated hip, movements that must be avoided after a total hip replacement to prevent dislocation of the prosthesis. This statement reflects a correct understanding and adherence to essential hip precautions. Choice D rationale The incision should be kept clean and dry to prevent infection, but gentle washing or showering is typically permitted after the initial healing period, often covered by a dressing. The statement "I won't wash my incision to keep it dry" is an over-restriction that may lead to poor hygiene or fear of normal wound care.

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